Thoracolumbar fractures are an important topic in spinal surgery. In this article, the instability of the thoracolumbar fracture classifications and surgical treatments are discussed, with a particular focus on treatment concepts that are based on the modern classification systems. Introduction Thoracolumbar junction has unique anatomical and biomechanical features because of this region is a t...

STUDY DESIGN Biomechanical experiment. OBJECTIVE The aims of the present study were to test the effect of fascial tension on lumbar segmental axial rotation and lateral flexion and the effect of the angle of fascial attachment. SUMMARY OF BACKGROUND DATA Tension in the middle layer of lumbar fascia has been demonstrated to affect mechanical properties of lumbar segmental flexion and extensi...

RATIONALE Thoracic-lumbar vertebral fracture is very common in clinic, and late post-traumatic kyphosis is the main cause closely related to the patients' life quality, which has evocated extensive concern for the surgical treatment of the disease. This study aimed to analyze the clinical outcomes and surgical strategies for late post-traumatic kyphosis after failed thoracolumbar fracture opera...

Approximately 79,000 spinal fractures occur annually in the United States. Roughly three out of every four fractures involve either the thoracic or the lumbar spine1,2. The most common site of injury in the thoracic and lumbar spine is the thoracolumbar junction, the mechanical transition zone between the relatively rigid thoracic spine and the more flexible lumbar region3-5. The thoracolumbar ...

This study investigated possible contributors to lateral spinal angulation after surgical fixation of thoracolumbar fractures via an anterior approach. We retrospectively examined lateral angulation in 172 cases of thoracolumbar fractures treated in this manner. The coronal Cobb angle and angles of the screws relative to the endplates were determined from radiographs. The patients completed the...

STUDY DESIGN A retrospective study. PURPOSE The aim of present study was to investigate imaging findings suggestive of cauda equina entrapment in thoracolumbar and lumbar burst fractures. OVERVIEW OF LITERATURE Burst fractures with cauda equina entrapment can cause neurologic deterioration during surgery. However, dural tears and cauda equina entrapment are very difficult to diagnose clinic...

UNLABELLED INTRODUCTION Surgical treatment for lumbar burst fractures is complex and typically involves either a retroperitoneal corpectomy and/or a posterior pedicle screw fixation. We describe the case of a patient with a lumbar burst fracture who was cured via a less invasive approach that has not been previously reported as standalone treatment. CASE PRESENTATION This 25-year-old Cauca...

Study Design Literature review. Objective The aim of this review is to highlight challenges in the development of a comprehensive surgical algorithm to accompany the AOSpine Thoracolumbar Spine Injury Classification System. Methods A narrative review of the relevant spine trauma literature was undertaken with input from the multidisciplinary AOSpine International Trauma Knowledge Forum. Results...

INTRODUCTION The reason we report this case is that spine injuries may well occur due to landmines similar to other injuries like traumatic limb amputations and more over they may be overlooked. CASE PRESENTATION The patient was 29-years-old Turkish male and was a member of the military. He detonated the landmine that caused his injuries while in a conflict zone. He had a right below knee and...