The Official journal of the China Association of Rehabilitation of Disabled Persons and the 88th Hospital of PLA

Composite Impact Factor:

0. 948 (2015)

Total citation frequency: 3868 (2015)


ISSN 1005-8478

CN 37-1247/R

Anterolateral versus posterior procedure for surgical correction of traumatic thoracolumbar kyphosis

Author : ZHANG Zhao-chuan, WANG Chun-zeng, JIANG Xiao-wei, et al.     
Working unit : Department of Spinal Surgery, Xuzhou Central Hospital, Xuzhou , Jiangsu, 221009,China
Page : 1938-1943
Key words : thoracolumbar fracture, kyphosis, surgical correction, anterolateral approach, posterior approach

Abstract:

Objective

To compare the clinical outcomes of anterolateral versus posterior procedure for surgical correc⁃

tion of traumatic thoracolumbar kyphosis.

Methods

From January 2010 to January 2013, 37 patients with single-segment thoracolumbar kyphosis secondary to trauma were surgically treated. Of them, 20 patients received anterolateral procedure for surgical correction the anterolateral group, whereas the remaining 17 patients underwent surgical correction by posterior techniquethe posterior group. Operation time, intraoperative blood loss, cost of treatment, ASIA grade, Stauffer-Coventry SCscale, VAS, ODI, SF-36 score and JOA score, compared between the two groups. In addition, X-ray and sagittal CT reconstruction were taken for measurement of Cobb angle and evaluation of spinal fusion.

Results

The anterolateral group had significantly shorter operation time, less intraoperative blood loss and lower operation cost than the posterior group P<0.05. All the patients were followed up for at least one year. In term of Stauffer-Coventry criteria and ASIA grade, most the patients achieved significant improvement in clinical manifestation and neurologic function, however, no statistical difference was noted between the two groups. Compared with the data before operation, VAS , ODI, SF-36 and JOA score significantly improved in both group at 1 month and 1 year postoperativelyP<0.05, but no significant difference was found at the same time point in any aforesaid parameters between the 2 groupsP>0.05. Furthermore, the Cobb angle significantly decreased after operation in both groupP<0.05, whereas no significant difference was noted in the Cobb angle at the same time point, and fusion rate at the latest follow up between the two groupsP>0.05.

Conclusion

Both anterolateral and posterior surgical procedures are safe and effective for treatment of traumatic thoracolumbar kyphosis, associated with similar clinical outcome. However, the anterolateral technique has advantage of shorter operation time, less blood loss and lower operative cost than the posterior operation.


summary:
Anterolateral versus posterior procedure for surgical correction of traumatic thoracolumbar kyphosis   
ZHANG Zhao-chuan, WANG Chun-zeng, JIANG Xiao-wei, et al.
Orthop J Chin,2017,25(21):   1938-1943