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A Comprehensive Classification of Thoracic and Lumbar Injuries

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AO ASIF Principles in Spine Surgery

Abstract

A classification should allow the identification of any injury by means of a simple algorithm based on easily recognizable and consistent radiographic and clinical characteristics. In addition, it should provide a concise and descriptive terminology, information regarding the severity of the injury, and guidance as to the choice of treatment and should serve as a useful tool for future studies.

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References

  1. Arciero R, Leung K, Pierce J (1989) Spontaneous unstable burst fracture of the thoracolumbar spine in osteoporosis. Spine 14:114–117

    Article  PubMed  CAS  Google Scholar 

  2. Boger DC, Chandler RW, Pearce JG, Balciunas A (1983) Unilateral facet dislocation at the lumbosacral junction. J Bone Joint Surg [Am] 65: 1174–1178

    CAS  Google Scholar 

  3. Bohler L (1951) Die Technik der Knochenbruchbehandlung, 12–13 edn, vol 1. Maudrich, Vienna, pp 318–480

    Google Scholar 

  4. Bohler J (1983) Bilanz der konservativen und operativen Knochenbruchbehandlung - Becken und Wirbelsäule. Chirurg 54: 241–247

    PubMed  CAS  Google Scholar 

  5. Chance CQ (1948) Note on a type of flexion fracture of the spine. Br J Radiol 21: 452–453

    Article  PubMed  CAS  Google Scholar 

  6. Conolly PI, Esses StI, Heggeness MH, Cook StS (1992) Unilateral facet dislocation of the lumbosacral junction. Spine 17: 1244–1248

    Article  Google Scholar 

  7. De Oliviera J (1978) A new type of fracture-dislocation of the thoracolumbar spine. J Bone Joint Surg [Am] 60: 481–488

    Google Scholar 

  8. Delplace J, Tricoit M, Sillion D, Vialla IF (1983) Luxation postérieure de L5 sur le sacrum. A propos d’un cast Rev Chir Orthop 69: 141–145

    CAS  Google Scholar 

  9. Denis F (1982) Updated classification of thoracolumbar fractures. Orthop Trans 6: 8–9

    Google Scholar 

  10. Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 8: 817–831

    Article  PubMed  CAS  Google Scholar 

  11. Denis F (1984) Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop 189: 65–76

    PubMed  Google Scholar 

  12. Denis F, Burkus JK (1991) Lateral distraction injuries to the thoracic and lumbar spine. A report of three cases. J Bone Joint Surg [Am] 73:1049–1053

    CAS  Google Scholar 

  13. Denis F, Burkus JK (1991) Diagnosis and treatment of cauda equina entrapment in the vertical lamina fracture of lumbar burst fractures. Spine [Suppl] 16: 433–439

    Google Scholar 

  14. Denis F, Burkus JK (1992) Shear fracture dislocation of the thoracic and lumbar spine associated with forceful hyper-extension (lumberjack paraplegia). Spine 17: 156–161

    Article  PubMed  CAS  Google Scholar 

  15. Ferguson RL, Allen BL Jr (1984) A mechanistic classification of thoracolumbar spine fractures. Clin Orthop 189: 77–88

    PubMed  Google Scholar 

  16. Fuentes JM, Bloncourt J, Bourbotte G, Castan P, Vlahovitch B (1984) La fracture du chance. Neurochirurgie 30: 113–118

    PubMed  CAS  Google Scholar 

  17. Gertzbein SD, Court-Brown CM (1988) Flexion/distraction injuries of the lumbar spine. Mechanisms of injury and classification. Clin Orthop 227: 52–60

    PubMed  CAS  Google Scholar 

  18. Gertzbein SD, Court-Brown CM (1989) The rationale for management of flexion/distraction injuries of the thoracolumbar spine, based on a new classification. J Spinal Disord 2 : 176–183.

    Article  PubMed  CAS  Google Scholar 

  19. Gertzbein SD, Offierski C (1979) Complete fracture-dislocation of the thoracic spine without spinal cord injury. A case report. J Bone Joint Surg [Am] 61: 449-451

    CAS  Google Scholar 

  20. Gumley G, Taylor TKF, Ryan MD (1982) Distraction fractures of the lumbar spine. J Bone Joint Surg [Br] 64: 520–525

    CAS  Google Scholar 

  21. Holdsworth FW (1963) Fractures, dislocations, and fracture dislocations of the spine. J Bone Joint Surg [Br] 45: 6–20

    Google Scholar 

  22. Holdsworth FW (1970) Review article: fractures, dislocations, and fracture-dislocations of the spine. J Bone Joint Surg [Am] 52:1534–1551

    CAS  Google Scholar 

  23. Howland WJ, Curry JL, Buffington CD (1965) Fulcrum injuries of the lumbar spine. JAMA 193: 240–241

    Article  PubMed  CAS  Google Scholar 

  24. Jeanneret B, Ward J-C, Magerl F (1993) Pincer fractures: a therapeutic quandary. Rev Chir Orthop 79 (Spécial): Abstract 38

    Google Scholar 

  25. Jeanneret B, Ho PK, Magerl F (1993) “Burst-shear” flexion/ distraction injuries of the lumbar spine. J Spinal Disord 6: 473–481

    Article  PubMed  CAS  Google Scholar 

  26. Lindahl S, Willen J, Norwall A, Irstam L (1983) The crush-cleavage fracture. A “new” thoracolumbar unstable fracture. Spine 8: 559–569

    Article  PubMed  CAS  Google Scholar 

  27. Lob A (1954) Die Wirbelsäulen-Verletzungen und ihre Ausheilung. Thieme, Stuttgart

    Google Scholar 

  28. Louis R (1977) Les théories de l’instabilite. Rev Chir Orthop 63: 423–425

    PubMed  CAS  Google Scholar 

  29. Magerl F, Harms J, Gertzbein SD, Aebi M, Nazarian S (1990) A new classification of spinal fractures. Presented at the Societé Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT) Meeting, Montreal, September 9,1990

    Google Scholar 

  30. Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1994) A comprehensive classification of thoracic and lumbar injuries. Eur Spine J

    Google Scholar 

  31. Maruo S, Tatekawa F, Nakano K (1987) Paraplegie infolge von Wirbelkompressionsfrakturen bei seniler Osteoporose. Z Orthop 125: 320–323

    Article  PubMed  CAS  Google Scholar 

  32. McAfee PC, Yuan HA, Fredrickson BE, Lubicky JP (1983) The value of computed tomography in thoracolumbar fractures. An analysis of one hundred consecutive cases and a new classification. J Bone Joint Surg [Am] 65: 461–479

    CAS  Google Scholar 

  33. Müller ME, Nazarian S, Koch P (1987) Classification AO des fractures. I Les os longs. Springer-Verlag, Berlin Heidelberg New York

    Google Scholar 

  34. Nicoll EA (1949) Fractures of the dorso-lumbar spine. J Bone Joint Surg [Br] 31: 376–394

    Google Scholar 

  35. Powell J, Waddell J, Tucker W, Transfeldt E (1989) Multiple-level noncontiguous spinal fractures. J Trauma 29: 1146–1150

    Article  PubMed  CAS  Google Scholar 

  36. Rennie W, Mitchell N (1973) Flexion distraction injuries of the thoracolumbar spine. J Bone Joint Surg [Am] 55: 386-390

    CAS  Google Scholar 

  37. Roy-Camille R, Saillant G (1984) Les traumatismes du rachis sans complication neurologique. Int Orthop 8:155–162

    Article  PubMed  CAS  Google Scholar 

  38. Roy-Camille R, Saillant G, Berteaux D, Marie-Anne S (1979) Early management of spinal injuries. In: McKibbin B (ed) Recent advances in orthopaedics 3. Churchill Livingstone, Edinburgh, pp 57–87

    Google Scholar 

  39. Roy-Camille R, Gagnon P, Catonne Y, Benazet JB (1980) La luxation antero-laterale du rachis lombo-sacre. Rev Chir Orthop 66:105–109

    PubMed  CAS  Google Scholar 

  40. Salomon C, Chopin D, Benoist M (1988) Spinal cord compression: an exceptional complication of spinal osteoporosis. Spine 13: 222–224

    Article  PubMed  CAS  Google Scholar 

  41. Sasson A, Mozes G (1987) Complete fracture-dislocation of the thoracic spine without neurologic deficit. A case report. Spine 12: 67–70

    Article  PubMed  CAS  Google Scholar 

  42. Shikata J, Yamamuro T, Iida H, Shimizu K, Yoshikawa J (1990) Surgical treatment for paraplegia resulting from vertebral fractures in senile osteoporosis. Spine 15:485–489

    Article  PubMed  CAS  Google Scholar 

  43. Simpson AHRW, Williamson DM, Golding SJ, Houghton GR (1990) Thoracic spine translocation without cord injury. J Bone Joint Surg [Br] 72: 80–83

    CAS  Google Scholar 

  44. Smith WS, Kauter H (1969) Patterns and mechanics of lumbar injuries associated with lap seat belts. J Bone Joint Surg [Am] 51: 239–254

    CAS  Google Scholar 

  45. Trojan E (1972) Langfristige Ergebnisse von zoo Wirbelbrüchen der Brust-und Lendenwirbelsäule ohne Lähmung. Z Unfallmed Berufskr 65: 122–134

    PubMed  CAS  Google Scholar 

  46. White AA III, Panjabi MM (1978) Clinical biomechanics of the spine. Lippincott, Philadelphia

    Google Scholar 

  47. Whitesides TE Jr (1977) Traumatic kyphosis of the thoracolumbar spine. Clin Orthop 128: 78–92

    PubMed  Google Scholar 

  48. Willems MHA, Braakman R, Van Linge B (1984) Bilateral locked facets in the thoracic spine. Acta Orthop Scand 55: 300–303

    Article  PubMed  CAS  Google Scholar 

  49. Willen J, Lindahl S, Irstam L, Aldman B. Norwall A (1984) The thoracolumbar crush fracture. An experimental study on instant axial dynamic loading: the resulting fracture type and its instability. Spine 9: 624–630

    Article  PubMed  CAS  Google Scholar 

Download references

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© 1998 Springer-Verlag Berlin Heidelberg

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Magerl, F., Aebi, M. (1998). A Comprehensive Classification of Thoracic and Lumbar Injuries. In: AO ASIF Principles in Spine Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58824-2_4

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  • DOI: https://doi.org/10.1007/978-3-642-58824-2_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63746-9

  • Online ISBN: 978-3-642-58824-2

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