Mahmoud Ahmed Mohamed Gomaa

Surgical management of lower thoracic and upper lumbar spine fractures : Comparative study anterior versus posterior approach / دراسة مقارنة بين التدخل الجراحى الأمامى و الخلفى لعلاج كسور الفقرات الصدرية السفلى و القطنية العليا Mahmoud Ahmed Mohamed Gomaa ; Supervsied Mohamed Khaled Saad Eldin , Mohamed Salah Eldin Basiouny , Ashraf Abdellatif Osman - Cairo : Mahmoud Ahmed Mohamed Gomaa , 2017 - 143 P. : charts , facsimiles ; 25cm

Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Neurosurgery

The thoracolumbar region is the most common site for spinal fractures. Detailed history taking, thorough physical and neurological examination with sufficient radiographic imaging are mandatory before beginning a treatment plan. The decision of which approach to use is still controversial. The anterolateral approach facilitate anterior decompression of spine with direct visualization of the dura anteriorly and restoration of vertebral body height. The posterior approach enables correction of kyphotic deformities and stabilization of all three spinal columns



Anterior approach Posterior approach Thoracolumbar