Spine Surgery pp 223-231 | Cite as

Epidemiology & Classification

  • Matti ScholzEmail author
  • Frank Kandziora


This chapter will outline the specifics of diagnosing a traumatic thoracolumbar fracture, appropriate fracture classification using the AOSpine Injury Classification System and choosing the appropriate treatment strategy by using the AOSpine Severity score (AOSIS). At the end of this chapter the reader should be able to classify different spinal fractures according to the morphology, the neurological status and potentially existing treatment modifiers.


  1. 1.
    Vaccaro AR, Oner C, Kepler CK, et al. AOSpine thoracolumbar spine injury classification system: fracture description, neurological status, and key modifiers. Spine. 2013;38:2028–37. Scholar
  2. 2.
    Kepler CK, Vaccaro AR, Schroeder GD, et al. The thoracolumbar AOSpine injury score. Global Spine J. 2015;6:329–34. Scholar
  3. 3.
    Vaccaro AR, Schroeder GD, Kepler CK, et al. The surgical algorithm for the AOSpine thoracolumbar spine injury classification system. Eur Spine J. 2015;25:1–8. Scholar
  4. 4.
    Reinhold M, Audigé L, Schnake KJ, et al. AO spine injury classification system: a revision proposal for the thoracic and lumbar spine. In: European Spine Journal. Berlin Heidelberg: Springer; 2013. p. 2184–201.Google Scholar
  5. 5.
    Schroeder GD, Vaccaro AR, Kepler CK, et al. Establishing the injury severity of thoracolumbar trauma: confirmation of the hierarchical structure of the AOSpine thoracolumbar spine injury classification system. Spine. 2015;40:E498–503. Scholar
  6. 6.
    Verheyden AP, Hölzl A, Ekkerlein H, et al. Recommendations for the treatment of thoracolumbar and lumbar spine injuries. Unfallchirurg. 2011;114:9–16. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Zentrum für Wirbelsäulenchirurgie und NeurotraumatologieBerufsgenossenschaftliche Unfallklinik Frankfurt am MainFrankfurt am MainGermany

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