Outcomes of Anterior Decompression and Anterior Instrumentation in Thoracolumbar Burst Fractures—A Prospective Observational Study With Mid-Term Follow-up

Objective: To analyze the functional, neurological, and radiological outcomes after anterior surgery in thoracolumbar burst fractures. Design: Prospective observational study. Setting: Tertiary care hospital. Patients: Thirty-six patients with thoracolumbar burst fractures (T11-L2). Intervention: Anterior decompression, anterior column reconstruction with mesh cage, and instrumented stabilization. Outcome: Functional (Visual Analog Score, Oswestry Disability Index, and Spinal Cord Independence Measure), neurological (ASIA Impairment Scale), and radiological (kyphosis, anterior vertebral height loss, canal encroachment %) parameters. Results: Patients were prospectively followed for a mean duration of 5.9 ± 3.2 years (2.4–10 years). Statistically significant improvement was noted in functional outcomes from preop values (P-value
Source: Journal of Orthopaedic Trauma - Category: Orthopaedics Tags: Original Article Source Type: research