الفهرس 
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Abstract
The aim of this study is to present the pathological classification, the clinical, and radiological analysis of a series of thoracolumbar burst fractures. Also to assess the clinical and radiological results after operative treatment and also to decide the best approach to this type of fracture, as judged from long term results. The material of this prospective study included 32 patients, aged 1750 years old, with thoracolumbar burst fractures admitted in the Orthopaedic Department of Emergency and Mansoura University Hospital, in the period between June, 2000 and October, 2004. Ten patients who had surgery <U+2265>10 days since trauma were treated with primary anterior decompression, strut graft, and internal fixation (group 1); twenty two patients were treated with primary posterior stabilization, relying on ligamentotaxix, and follow up CT revealed residual canal compromize (group11). Those 22 patients were further subdivided into 2 groups: first group (A) including 9 patients underwent anterior decompression, strut grafting; and second group (B) including 13 patients underwent additional internal vertebral fixation using Z plate. No neurological deterioration occurred in our study. All patients showed improvement at least one grade according to Modified Frankel. There were two patients remained grade B without improvement. 30 (93.75%) patients have regained variable grades of functional activities and 2 (6.25%) were not able work (W5 according to Denis). As regard radiologic results; all patients achieved fusion except 4 (12.5%); two of them were secondary to infection, and all showed stable spine at the end of follow up period apart from one with loosening of implants due to infection.