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Anterior Versus Posterior Fixation in Thoracic Potts Spine

Amit AgarwalAnubhav AgarwalHarish Chandra

FH Medical College

摘要:Potts spine has been an age old problem for management.The earlier method of treatment of ATT therapy,bed rest and decompression without fixation had its own disadvantages.It involved prolonged bed rest,which has its own antecedent morbidity.Spine fixation in skeletal tuberculosis has evolved in the last decade,which not only helps in early mobilization of the patient but also prevents late problems of chronic pain and progressive kyphosis.Both anterior and posterior approaches are used for dorsal spine fixation depend on level of pathology involvement.Transpedicular fixation and hartshill loop is done mainly through posterior approach while transthoracic,transmanubrial and transaxillary are the methods for anterior approach.In this prospective study of 20 patients which were operated during last 3 years,some via anterior and majority via posterior approach.The results were evaluated and it was concluded that posterior approach had many advantages over anterior approach This includes a three column fixation which is not possible with anterior approach.This helps in early mobilization of the patient.Posterior approach has a lesser morbidity than anterior approach,requires lesser duration of hospital stay and surgical risks of anterior are minimized.The disadvantages of posterior approach that direct pathology is not dealt with which is not a major issue in POTT’s spine.For D1-D5 posterior approach is not good because of small sized pedicles and also there is more danger of damage to major vessels.In these levels anterior approach is more suitable.
会议名称:

2015中国西安第二届世界骨科大会

会议时间:

2015-09-24

会议地点:

中国陕西西安

  • 专辑:

    医药卫生科技

  • 专题:

    外科学

  • 分类号:

    R687.3

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