Abstract:
QUESTION:Does the choice of surgical approach (anterior, posterior, or combined anterior-posterior) improve clinical outcomes in patients with thoracic and lumbar fractures? RECOMMENDATIONS:In the surgical treatment of patients with thoracolumbar burst fractures, physicians may use an anterior, posterior, or a combined approach as the selection of approach does not appear to impact clinical or neurological outcomes. Strength of Recommendation: Grade B With regard to radiologic outcomes in the surgical treatment of patients with thoracolumbar fractures, physicians may utilize an anterior, posterior, or combined approach because there is conflicting evidence in the comparison among approaches. Strength of Recommendation: Grade Insufficient With regard to complications in the surgical treatment of patients with thoracolumbar fractures, physicians may use an anterior, posterior, or combined approach because there is conflicting evidence in the comparison among approaches. Strength of Recommendation: Grade Insufficient The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_11.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Anderson PA,Raksin PB,Arnold PM,Chi JH,Dailey AT,Dhall SS,Eichholz KM,Harrop JS,Hoh DJ,Qureshi S,Rabb CH,Kaiser MG,O'Toole JEdoi
10.1093/neuros/nyy363subject
Has Abstractpub_date
2019-01-01 00:00:00pages
E56-E58issue
1eissn
0148-396Xissn
1524-4040pii
5091883journal_volume
84pub_type
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