Neurological outcomes following Morley procedure in traumatic dorso-lumbar fractures: An analysis of anterolateral corpectomy and fixation.

Abstract

Objective: Asses the follow up results of anterolateral approach. Study Design: Descriptive Type Research. Setting: Department of Neurological, Jinnah Post graduate Hospital Karachi. Period: March 2019 to December 2024. Methods: Patients from both genders, the Frankel's grading scale was used for thoracic and lumber trauma, including the X-ray and MRI were done for diagnostic purpose. Results: This study had 61 patients, those who had presented with thoracic either lumber spine injury had Webb Morley procedure. We had 14 (22.95%) female patients and 47(77.18%) males, a median group age value was 54.5yrs and the mean value age group was calculated 46±2 years. The mode of trauma was with Fall 36 (77.00%) followed by, a road trauma around 17(25 %), and objects fall 8 (17.18 %). The presentation of the patient was with backpain, sensory loss, splinter function involvement and weakness of the lower limb with different level of power and sensory loss. Conclusion: Patients undergoing this approach have shown significant neurological and functional improvement, especially those presenting with partial motor deficits. These individuals often experience substantial pain relief and effective control of kyphotic deformity progression. Selectivity plays pivotal role.