Posterolateral Approach for Dorsal Spine Fractures
Salem, A., El-Narsh, A., Abo-Shosha, M., El-Heeny, M. (2019). Posterolateral Approach for Dorsal Spine Fractures. EKB Journal Management System, 77(5), 5698-5709. doi: 10.21608/ejhm.2019.63225
Ahmed Salem; Ahmed El-Narsh; Ma’mon Abo-Shosha; Mohamed Abd El-Hameed Abd ElKader El-Heeny. "Posterolateral Approach for Dorsal Spine Fractures". EKB Journal Management System, 77, 5, 2019, 5698-5709. doi: 10.21608/ejhm.2019.63225
Salem, A., El-Narsh, A., Abo-Shosha, M., El-Heeny, M. (2019). 'Posterolateral Approach for Dorsal Spine Fractures', EKB Journal Management System, 77(5), pp. 5698-5709. doi: 10.21608/ejhm.2019.63225
Salem, A., El-Narsh, A., Abo-Shosha, M., El-Heeny, M. Posterolateral Approach for Dorsal Spine Fractures. EKB Journal Management System, 2019; 77(5): 5698-5709. doi: 10.21608/ejhm.2019.63225

Posterolateral Approach for Dorsal Spine Fractures

The Egyptian Journal of Hospital Medicine
Article 23, Volume 77, Issue 5, October 2019, Page 5698-5709  XML PDF (763.78 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.63225
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Authors
Ahmed Salem1; Ahmed El-Narsh2; Ma’mon Abo-Shosha1; Mohamed Abd El-Hameed Abd ElKader El-Heeny1
1Department of Neurological Surgery, Faculty of Medicine, Al-Azhar University
2Department of Neurological Surgery, Faculty of Medicine, Minia University
Abstract
Background: Despite the great evolution in neurosurgical techniques, management of fractures of the thoracic spine still represent a major conflict in neurosurgery due to the different causes leading to fracture and the different methods available for management. The thoracolumbar region anatomically from D11-L2 which loss the stabilization effect of the rib cage. The spinous processes are more horizontal, which provides increase mobility. Objective: The aim of this study is to evaluate the efficacy and success of posterolateral approach for treatment of dorsal spine fractures surgically. Patients and methods: This was a prospective study of 30 patients of both sexes having all types fractures in the dorsal region (whether traumatic or pathologic) managed in the period between October 2015 and September 2017 in Neurosurgery Department Minia and Al-Azhar University hospitals. The study was approved by the medical ethics committee of Minia and Al-Azhar University Hospitals and a written informed consent was obtained from all patients. Results: Among the 30 patients, 14 of them managed by transpedicular screws fixation, 11 patients managed by costotransversectomy with pedicular screws fixation, and 3 patients managed by costotransversectomy with pedicular screws fixation and interbody cage insertion while one case managed by LECA with pedicular screws fixation and another one case with LECA with both pedicular screws and interbody cage insertion. Among the 30 patients managed 25 of them improved and 5 patients did not show any improvement during management. Conclusion: The ideal methodology in managing fractures should be meticulous pre-operative, operative, and postoperative management. The preoperative management should entail detailed and through clinical neurological evaluation to point out the presence of preoperative neurological deficit and their extent.
Keywords
Dorsal Spine Fractures; LECA; CT; Surgery; Management
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