Anterolateral Versus Posterior Approach in Management of Lower Dorsal and Upper Lumbar Traumatic & Pathological Spine Fractures

Purpose: comparing anterolateral versus posterior approach in decompression and stabilization of spine.

Study design: prospective comparative study.

Patients and Method: thirty patients have lower dorsal and upper lumbar spine fractures operated upon in the period from January 2016 to July 2017.

Results: Surgical management of thoracolumbar burst and pathological fractures, Anterolateral approach have not significant superior to posterior approach in terms of recovery neurological function and maintaining normal life activities. Anterior approach was better than posterior approach in rapid improvement of sphincteric control in patients with incomplete cord injury with sphincteric troubles.