OWL: OCOSH Classification/Trauma/Back and Spinal Injuries/Spinal Injuries/Spinal Fractures/Thoracic Fractures

How we treat recent thoracic and lumbar spine fractures

Louis et al — 2008-08-28 22:33:33 GMT

About 10,000 thoracic and lumbar spine fractures are treated every year in France. In our experience, a few very minor cases can be treated with bed rest and physiotherapy; 60 % of lesions can be managed with closed treatment; and only 30 % will require surgery. Our experience includes more than 500 cases treated in our Department over a 25-year period.
C. LOUIS, S. NAZARIAN, R. LOUIS H�pital de la Conception, Marseille

Posterior pedicle screw fixation for thoracolumbar burst fractures

Leduc et al — 2008-02-05 22:33:33 GMT

Posterior pedicle screw fixation with supplemental laminar hook fixation for the treatment of thoracolumbar burst fractures S. Leduc, J-M Mac-Thiong, G. Maurais, A. Jodoin Can J Surg, Vol. 51, No. 1, February 2008
This study evaluates the clinical relevance of the short-segment pedicle fixation supplemented by laminar hooks (2HS-1SH) construct in the surgical treatment of thoracolumbar burst fractures. The 2HS-1SH construct provides significant correction of vertebral body height and local kyphosis. It also preserves the initial correction and minimizes the risk of instrumentation failure.

Thoracic Spine Burst Fractures Wheeless

C.R.Wheeless — 2008-08-14 22:33:33 GMT

- results from hyperflexion, which produces wedge compression of one or more vertebral bodies;
- due to the rigidity of the rib cage, most of these frxs are stable;
- thoracic spinal canal is narrow in relation to the spinal cord, so that thoracic spinal cord injuries commonly are complete;

Thoracic Spine Fractures and Dislocations eMedicine Orthopedics

Leahy & Rahm — 2008-08-10 22:33:33 GMT

Thoracic spine fractures, especially those resulting from high energy, can be devastating, often resulting in permanent neurologic injury. Neurologic deficit is encountered in 10-25% of all spinal column injuries, irrespective of the level of injury. A deficit occurs in 15-20% of all thoracolumbar injuries. In the event of a complete neurologic injury, very few patients regain any useful motor function. Concomitant neurologic injury with spine fractures also adversely affects long-term survival.
Synonyms and related keywords: spinal column injury, thoracolumbar injuries, neurologic injury, thoracic spine fractures, Denis classification, pedicle screw fixation
Leahy & Rahm 2007

Thoracic Spine Trauma eMedicine Radiology

Nadalo & Moody — 2008-08-10 22:33:33 GMT

The goal of the diagnostic imaging is to correctly identify spinal fractures, to identify injuries to the spinal cord and nerve roots, to aid in surgical planning, and to judge the stability of postoperative fixation. This article highlights the typical patterns of injury within a classification based on the mechanism of injury while focusing on the imaging methods that are most useful in clinical practice.
Synonyms and related keywords: Chance fracture, spinal compression fracture, burst fracture, thoracic trauma, thoracic fracture, spinal fractures, seatbelt injury, thoracic fracture-dislocation, Denis classification, Denis fractures
Nadalo & Moody 2007

Thoracolumbar Fractures Wheeless

C.R.Wheeless — 2008-08-14 22:33:33 GMT

fracture at this level are frequently due to relative immobility of thoracic spine compared to the lumbar spine;
- upper thoracic spine (T1 to T10) is stabilized by the ribs & facet orientation, and is less suseptible to trauma;
- at T12-L1 junction, however, there is a fulcrum of increased motion & this area is more commonly affected with spine trauma

Vertebral Fractures eMedicine Medicine

Reiter et al — 2008-08-10 22:33:33 GMT

Vertebral fractures of the thoracic and lumbar spine are usually associated with major trauma and can cause spinal cord damage that results in neural deficits. Each vertebral region has unique anatomical and functional features that result in specific injuries. This article reviews the mechanisms and management of individual injuries in the thoracic and lumbar regions of the spine.
Synonyms and related keywords: Chance fracture, seatbelt syndrome, pathologic fracture, wedge fracture, compression fracture, spinal cord injury, spinal cord injuries, vertebra fracture, broken back, thoracic spinal cord injury, thoracolumbar spinal fracture, burst fracture, seat belt fracture, seatbelt fracture, flexion-rotation injury, flexion-distraction injury, shear injury, flexion-rotation fracture, flexion-distraction fracture, shear fracture, osteoporosis, osteoporosis fracture, bone disease, brittle bone, back pain, vertebral body fracture, Pott disease, Pott's disease, tuberculous spondylitis, tuberculosis spondylitis, osteomyelitis, sagittal slice fracture, posterior lumbar interspinous fusion, PLIF, Z-plate anterior thoracolumbar plating system, anterior arthrodesis
Authors Reiter, Shneiderman, Alexander & Godorov 2004