- Discussion:
- most indicated for unstable burst frxs w/ cord impingement caused by bone fragments off the postero-superior vertebral body;
- allows most direct visualization for decompression of thecal sac;
- visceral and vascular structures may be injured, & this approach carries the greatest potential morbidity;
- anterior strut grafting w/ iliac crest is required but often provides only minimal immediate stability,unless anterior fixation is also applied;
- after anterior procedure, posterior compression instrumentation & arthrodesis will help increase stability of anterior graft, increase the
probability of successful fusion
- Thoracolumbar Surgical Approach
