Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma: Surgical Approaches.

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

Neurosurgery

journal_title

Neurosurgery

authors

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 JE

doi

10.1093/neuros/nyy363

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

E56-E58

issue

1

eissn

0148-396X

issn

1524-4040

pii

5091883

journal_volume

84

pub_type

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