Lin, B., Chen, Z., Guo, Z., Liu, H. and Yi, Z.K. (2011) Anterior Approach versus Posterior Approach with Subtotal Corpectomy, Decompression, and Reconstruction of Spine in the Treatment of Thoracolumbar Burst Fractures: A Prospective Randomized Controlled Study. Journal of Spinal Disorders & Techniques.
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has been cited by the following article:

• TITLE: One Stage Anterior Reconstruction and Posterior Instrumentation in Surgical Management of Thoracolumbar Spine Fractures

  AUTHORS: Khaled Omran, Hesham Ali, Ahmed Saleh, Ahmed Omar, Ibrahim Elhawery, Ali Zein A. A. Alkhooly

  KEYWORDS: Transpedicular Approach (TPA), Postero-Anterior Approach (PA), Posterior Lumbar Interbody Fusion (PLIF), Transforminal Lumbar Interbody Fusion (TLIF)

  JOURNAL NAME: Open Journal of Orthopedics, Vol.5 No.1, January 28, 2015

  ABSTRACT: Background: The different methods of anterior reconstruction and posterior instrumentation in surgical management of thoracolumbar spine fractures are PLIF, TLIF, lateral extracaviatary and transpedicular techniques which are increasingly used to perform partial or total corpectomies and anterior reconstructions from a posterior approach. These techniques were being alternative to the standard anterior approach with less morbidity and mortality. Patients and Methods: This study was performed between 2011 and 2014 on 100 patients with acute unstable thoracolumbar spine fractures which were divided into four groups: 30 patients underwent (TLIF), 28 patients underwent (PLIF), 28 patients underwent (PA) and 14 patients underwent (TPA). Neurological outcome, complications, operative times, kyphotic angle, vertebral height loss, spinal canal compromise, pulmonary functions, Denis pain and work scale, VAS score, ODI score, hospital stay, and estimated blood loss (EBL) were evaluated and compared in between the four groups. Results: There was a higher complication rate, increased EBL, and longer operative time with posteroanterior (PA) compared with PLIF, TLIF and (TPA). Patients undergoing PLIF, TLIF and TPA had a greater recovery of neurological function than those in whom PA were performed. Conclusion: TPA appeared to have more favorable results in improving the clinical and radiological outcome and no complications were reported apart from superficial wound infection which healed rapidly. The PLIF, TLIF and TPA appeared to have a comparable morbidity rate to PA. The different methods of anterior reconstruction from posterior approach are more favorable, applicable and convenient than PA approach.