Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Evaluation and Treatment of Patients with Thoracolumbar Spine Trauma: Surgical Approaches
| Autor: | Michael G. Kaiser, James S. Harrop, Paul A. Anderson, Sanjay S. Dhall, Kurt M Eichholz, Paul M. Arnold, Craig H. Rabb, John H. Chi, Sheeraz A. Qureshi, Daniel J. Hoh, John E. O'Toole, Andrew T. Dailey, P B Raksin |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Evidence-based practice MEDLINE Neurosurgery Guidelines as Topic Neurosurgical Procedures Patient Care Planning Thoracic Vertebrae 03 medical and health sciences Fracture Fixation Internal 0302 clinical medicine Lumbar Fracture fixation medicine Humans Surgical approach Evidence-Based Medicine Lumbar Vertebrae business.industry General surgery Thoracolumbar spine Evidence-based medicine Guideline Treatment Outcome Spinal Injuries 030220 oncology & carcinogenesis Spinal Fractures Surgery Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Neurosurgery. 84(1) |
| ISSN: | 1524-4040 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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