Classification and acute management of thoracolumbar

Neurosurg. Clin. N. Am. · Oct 1997

Review

Classification and acute management of thoracolumbar fractures.

Successful management of traumatic injuries of the thoracolumbar spine requires understanding of the concepts of spinal stability and instability. There are numerous classifications of injury patterns based on fracture type and the probable forces involved. This article focuses on Denis's three-column theory of spinal stability and its utility in categorizing five injury patterns and the forces involved: specifically, wedge compression fractures, burst fractures, flexion distraction injuries, fracture dislocations, and miscellaneous injuries. The authors also highlight the acute management and evaluation of patients suspected to have these types of injuries.

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- D G Vollmer and C Gegg.
- Division of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, 78284-7843, USA.
- Neurosurg. Clin. N. Am. 1997 Oct 1;8(4):499-507.
AbstractSuccessful management of traumatic injuries of the thoracolumbar spine requires understanding of the concepts of spinal stability and instability. There are numerous classifications of injury patterns based on fracture type and the probable forces involved. This article focuses on Denis's three-column theory of spinal stability and its utility in categorizing five injury patterns and the forces involved: specifically, wedge compression fractures, burst fractures, flexion distraction injuries, fracture dislocations, and miscellaneous injuries. The authors also highlight the acute management and evaluation of patients suspected to have these types of injuries.

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Classification and acute management of thoracolumbar fractures.

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