Treatment of Thoracolumbar Fracture

Kim, Byung-Guk; Dan, Jinmyoung; Shin, Dong-Eun

doi:10.4184/asj.2015.9.1.133

Cited by 101 publications

(96 citation statements)

References 109 publications

(121 reference statements)

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“…The thoracolumbar junction is a weak biomechanical structure (Kim et al. ; Maulida et al. ; Shin et al.…”

Section: Introductionmentioning

confidence: 99%

“…The thoracolumbar junction is a weak biomechanical structure (Kim et al 2015;Maulida et al 2015;Shin et al 2016). This often leads to spinal instability that result in injuries, such as spine fractures and thoracolumbar junction syndrome.…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the majority (90%) of spine fractures are related to the thoracolumbar region. Severe instability, structural damage and post-traumatic deformity are the most frequent indications for surgical intervention (Beisse, 2006;Kim et al 2015;Maulida et al 2015;Shin et al 2016).…”

Section: Introductionmentioning

confidence: 99%

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Differentiation and classification of thoracolumbar transitional vertebrae

2018

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The literature states that transitional vertebrae at any junction are characterized by features retained from two adjacent regions in the vertebral column. Currently, there is no published literature available that describes the prevalence or morphology of thoracolumbar transitional vertebrae (TLTV). The aim of this study was to identify the qualitative characteristics of transitional vertebrae at the thoracolumbar junction and establish a technique to differentiate the various subtypes that may be found. A selection of vertebral columns from skeletal remains (n = 35) were evaluated in this study. Vertebrae were taken based on features that are atypical for vertebrae in each relative region. The transitional vertebrae were qualitatively identified based on overlapping thoracic and lumbar features of vertebrae at the thoracolumbar junction. The following general overlapping characteristics were observed: aplasia or hypoplasia of the transverse process, irregular orientation on the superior articular process and atypical mammillary bodies. The results show that the most frequent location of the transitional vertebrae was in the thoracic region (f = 23). The second most frequent location was in the lumbar region (f = 10). In two specimens of the selection (f = 2), an additional 13th thoracic vertebra was present which functioned as a transitional vertebra. This study concluded that one can accurately identify the characteristics of transitional vertebrae at the thoracolumbar junction. In addition, the various subtypes can be differentiated according to the region in the vertebral column the vertebra is located in and the relative number of vertebral segments in the adjacent regions of the vertebral column. This provides a qualitative tool for researchers to differentiate the transitional vertebrae from distinctly different typical thoracic or lumbar vertebrae at the thoracolumbar junction.

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“…The thoracolumbar junction is a weak biomechanical structure (Kim et al. ; Maulida et al. ; Shin et al.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Differentiation and classification of thoracolumbar transitional vertebrae

2018

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“…The thoracolumbar segment between T11-L2 is exposed to more stress than other parts of the spine. Therefore, ninety percent of the fractures of the spine are in the thoracolumbar region (2). These injuries are usually caused by motor vehicle accidents or falling from a height.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Aksu¹,

Saran²,

Oflaz³

et al. 2020

tmsj

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Aims:This study aims to classify the thoracolumbar spinal injuries that were treated in Trakya University School of Medicine according to the recent Thoracolumbar AOSpine injury score and crosscheck the classified data with categorical modifiers such as gender, trauma type and treatment type. Methods: AOSpine Classification System was used to classify thoracolumbar spinal injuries. Classes were compared with patients' gender, age, trauma energy and treatment type. Pearson Chi-Squared test and Shapiro-Wilk test were used for statistical analysis. Results: The total number of patients was 248. One hundred fifty-two (61.3%) were male and 96 (38.7%) were female. One hundred and three (86.6%) patients had high-energy trauma and 16 (13.4%) patients had low-energy trauma in a total of 119 operated patients. Relationship between treatment type and AOSpine Classification System statistically significant. There was also a significant difference between trauma energy and AOSpine Classification System types. Conclusion: As a conclusion, gender and trauma energy were found to have a relationship and higher energy traumas were most likely to cause spinal fractures. In addition, AOSpine classification system may be one of the confounding factors regarding the choice of treatment.

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“…In the literature, clinical guidelines have reflected this, defining posterior column compromised by a range of radiographic parameters: kyphosis >15-35°, loss of >40-60% of the anterior VB height, and fracture dislocation of the posterior elements [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Temporary stabilization of unstable spine fractures

Danison

Lee

Panchal

2017

Curr Rev Musculoskelet Med

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Purpose of Review We will review the recent literature concerning the necessity of supplemental fusion to spinal instrumentation and discuss if temporal spinal fixation is a viable option for the treatment of unstable spine fractures. Advancements in minimally invasive techniques offer an alternative approach to traditional open stabilization for unstable spine fractures. The use of minimally invasive surgery offers many advantages concerning operative morbidly; fusion is not utilized and instrumentation can be removed in a delayed fashion. Recent Findings There are limited differences in amount of correction loss over time, and multiple studies report equivocal to superior results in patient's functional outcomes when comparing temporary internal stabilization to long segment instrumentation with fusion. Removal of implants can restore segmental motion. Summary Review of the literature demonstrates that temporary internal stabilization for unstable fractures is a viable option. Close clinical and radiographic follow-up is recommended to avoid delayed spinal deformity.

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Treatment of Thoracolumbar Fracture

Cited by 101 publications

References 109 publications

Differentiation and classification of thoracolumbar transitional vertebrae

Differentiation and classification of thoracolumbar transitional vertebrae

Evaluation of Thoracolumbar Injuries in Trakya University School of Medicine According to Aospine Classification System

Temporary stabilization of unstable spine fractures

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