Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma: Surgical Approaches.

Authors

• Paul A Anderson
• P B Raksin
• Paul M Arnold
• John H Chi
• Andrew T Dailey
• Sanjay S Dhall
• Kurt M Eichholz
• James S Harrop
• Daniel J Hoh
• Sheeraz Qureshi
• Craig H Rabb
• Michael G Kaiser
• John E O'Toole

Publication/Presentation Date

1-1-2019

Abstract

QUESTION: Does the choice of surgical approach (anterior, posterior, or combined anterior-posterior) improve clinical outcomes in patients with thoracic and lumbar fractures?

RECOMMENDATIONS: In the surgical treatment of patients with thoracolumbar burst fractures, physicians may use an anterior, posterior, or a combined approach as the selection of approach does not appear to impact clinical or neurological outcomes. Strength of Recommendation: Grade B With regard to radiologic outcomes in the surgical treatment of patients with thoracolumbar fractures, physicians may utilize an anterior, posterior, or combined approach because there is conflicting evidence in the comparison among approaches. Strength of Recommendation: Grade Insufficient With regard to complications in the surgical treatment of patients with thoracolumbar fractures, physicians may use an anterior, posterior, or combined approach because there is conflicting evidence in the comparison among approaches. Strength of Recommendation: Grade Insufficient The full version of the guideline can be reviewed at: https://www.cns.org/guideline-chapters/congress-neurological-surgeons-systematic-review-evidence-based-guidelines/chapter_11.

Volume

84

Issue

1

First Page

56

Last Page

56

ISSN

1524-4040

Published In/Presented At

Anderson, P. A., Raksin, P. B., Arnold, P. M., Chi, J. H., Dailey, A. T., Dhall, S. S., Eichholz, K. M., Harrop, J. S., Hoh, D. J., Qureshi, S., Rabb, C. H., Kaiser, M. G., & O'Toole, J. E. (2019). Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma: Surgical Approaches. Neurosurgery, 84(1), E56–E58. https://doi.org/10.1093/neuros/nyy363

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

30203100

Department(s)

Administration and Leadership

Document Type

Article