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العنوان
Role of anterolateral retroperitoneal approach for neural decompression and anterior reconstruction of lumbar burst fractures /
المؤلف
Rizk, Amin Mohamed Sabry.
هيئة الاعداد
باحث / أمين محمد صبرى رزق
مشرف / محمد صفوت إبراهيم
مشرف / محمد منصور على
مشرف / أشرف شاكر زيدان
مشرف / إبراهيم محمود عوض
الموضوع
Lumbar Burst Fractures. Lumbar.
تاريخ النشر
2014.
عدد الصفحات
162 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب (متفرقات)
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة المنصورة - كلية الطب - جراحة المخ والاعصاب
الفهرس
Only 14 pages are availabe for public view

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from 184

Abstract

Lumbar fractures are common type of spinal fractures, causing many social economic and medical problems. Inspite of being very frequently faced by spinal surgeons, lumbar fractures still pose a medical and surgical dilemma. in this current study we discuss the anterolateral approach to this area and compare our results with the litterated studies. We explored the feasibility,safety,efficacy and cosmosis of anterolateral approach for decompression and reconstruction of lumbar fractures, and compared these aspects to those of other studies. We perform high selection of cases of spine trauma for conventional anterolateral approach. A team with growing experience in this technique carried on the surgical procedure, and independent physicians carried on the follow up(to avoid conflict of interest). Cases were followed up for one year and results were collected regarding patient’s demo graphic data, neurological status, functional outcome and signs of fusion and correction gain on radiological studies. We found our study sharing others in some results, disagree in some, and giving answers to questions not previously answered. Upper lumbar region was the most common site of spinal fractures, the late twenties and early thirties was the most common age group, and males were one and a half more commonly affected than females. We shared studies from developing countries that high falls are the most common cause of spinal fractures, and agreed with literature that the first lumbar vertebra is the most commonly fractured level. Ninety three percent of our cases were of the burst type which is higher than literature, and no cases were of the flexion-distraction type which may be due to the disappearance of the waist-level safety belts used in the past.