Spine Surgery pp 275-280 | Cite as

Management Criteria for Thoracic, Thoracolumbar and Lumbar Fractures

  • Esat Kiter
  • Nusret Ok


Classification of the vertebral fractures to encourage optimal treatment protocol has long been interest of the spine surgeons. In the past, although many morphology-based or mechanistic classification systems have been proposed, none of them has lasting influence on daily practice. In the last two decades, the spine community focused on developing a classification system incorporating morphology, mechanism, and clinical factors relevant for surgical decision. However, even in the current classification systems, treatment protocols always have a gray zone which allows the surgeon to make his own decision.


  1. 1.
    Anekstein Y, Brosh T, Mirovsky Y. Intermediate screws in short segment pedicular fixation for thoracic and lumbar fractures: a biomechanical study. J Spinal Disord Tech. 2007;20(1):72–7. Scholar
  2. 2.
    Kepler CK, Vaccaro AR, Schroeder GD, Koerner JD, Vialle LR, Aarabi B, et al. The Thoracolum bar AO spine injury score. Global Spine J. 2016;6(4):329–34. Scholar
  3. 3.
    Mahar A, Kim C, Wedemeyer M, Mitsunaga L, Odell T, Johnson B, et al. Short-segment fixation of lumbar burst fractures using pedicle fixation at the level of the fracture. Spine (Phila Pa 1976). 2007;32(14):1503–7. Scholar
  4. 4.
    Pang W, Zhang GL, Tian W, Sun D, Li N, Yuan Q, Zhang B, et al. Surgical treatment of thoracolumbar fracture through an approach via the paravertebral muscle. Orthop Surg. 2009;1(3):184–8. Scholar
  5. 5.
    Sun XY, Zhang XN, Hai Y. Percutaneous versus traditional and paraspinal posterior open approaches for treatment of thoracolumbar fractures without neurologic deficit: a meta-analysis. Eur Spine J. 2017;26(5):1418–31. Scholar
  6. 6.
    Vaccaro AR, Rihn JA, Saravanja D, Anderson DG, Hilibrand AS, Albert TJ, et al. Injury of the posterior ligamentous complex of the thoracolumbar spine: a prospective evaluation of the diagnostic accuracy of magnetic resonance imaging. Spine (Phila Pa 1976). 2009;34(23):E841–7. Scholar
  7. 7.
    Vaccaro AR, Oner C, Kepler CK, Dvorak M, Schnake K, Bellabarba C, et al. AOSpine spinal cord injury & trauma knowledge forum. AOSpine thoracolumbar spine injury classification system: fracture description, neurological status, and key modifiers. Spine (Phila Pa 1976). 2013;38(23):2028–37. Scholar
  8. 8.
    Vaccaro AR, Schroeder GD, Kepler CK, Cumhur Oner F, Vialle LR, Kandziora F, et al. The surgical algorithm for the AOSpine thoracolumbar spine injury classification system. Eur Spine J. 2016;25(4):1087–94. Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Esat Kiter
    • 1
  • Nusret Ok
    • 1
  1. 1.Pamukkale University, Department of OrthopedicsDenizliTurkey

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