Compared to the posterior approach the anterior approach or combined anterior and posterior approach are better options in managing unstable thoracolumbar burst fracture while the combined anterior and posterior approach should be used only for the burst fracture with a significant posterior column
injury because of its longer hospital stay larger blood loss higher hospitalisation cost and longer operation time.
COMBINING THE ANTERIOR, MIDDLE AND POSTERIOR COLUMNS IN AIRWAY ASSESSMENT
Some surgeons have modified SPO into a more posterior column
resection and anterior osteoclasis and have achieved over 30[degrees] of correction at one level.
Anterior column fractures, Ilioinguinal approach was used; whereas the Posterior column
fractures were fixed by the Kocher Langenbeck approach.
Since King  first placed short screws almost transversely across the lateral articulations of the posterior column
of lumbar vertebrae (transfacet screw placement), there has been an almost continuous development based on the work of surgeons such as Boucher,  Pennal et al.
17 This is because pedicle screw fixation achieves reduction and stability in both anterior and posterior column
injuries, does not require anterior decompression and does not affect extra motion segments.
A spastic ataxia syndrome with prominent posterior column
findings mimicking cobalamin deficiency (1) remains the archetypal and probably the most common neurologic presentation of copper deficiency.
The lateral view shows the anterior vertebral column loses height, whereas the posterior column
remains intact as seen in Figure 7 (Davenport 2009).
At four months post-surgical follow-up, neurological examination revealed mild gait unsteadiness likely due to a loss of posterior column
Burst fractures, which include injury to the anterior and middle columns and, possibly, the posterior column
, are common to the thoracolumbar junction.
Fracture patterns were transverse in 5 (1 males and 4 females); posterior wall in 3 (1 male and 2 females); posterior column
and wall in 1 (a female); one transverse and posterior wall (a female); and 1 with associated femoral neck fracture.
In the anatomical three-column model described by Denis (5), the anterior column includes the anterior longitudinal ligament and the anterior half of the vertebral body and the annulus fibrosus, the middle column includes the posterior half of the vertebral body and the annulus fibrosus along with the posterior longitudinal ligament, and the posterior column
includes the bone and ligamentous structures posterior to the posterior longitudinal ligament.
They have also suggested that the pedicle connects the anterior column (body) and posterior column