Extended Abstract In the U.S, there are 150,000 high energy trauma fractures per year according to Reitman et al. (2004) and the majority of these fractures occur in the thoracolumbar junction with Roche et al. (2008) recording 43.8% of fractures occurring at the thoracolumbar junction. The change of the seat belt restraint from lap belt to three-point restraint systems has greatly reduced the ...

BACKGROUND Posterior short-segment pedicle screw fixation is used to treat thoracolumbar burst fractures. However, no randomized controlled studies have compared the efficacy of the two approaches--the Wiltse's paraspinal approach and open book laminectomy in the treatment of thoracolumbar burst fractures with greenstick lamina fractures. MATERIALS AND METHODS Patients with burst fractures of...

AIM To determine whether the Thoracolumbar Injury Classification and Severity Score (TLICS) and the Arbeitsgemeinschaft für Osteosynthesefragen (AO) Spine Thoracolumbar Injury Classification System have any superiority to each other regarding the reliability of their recommendations in the surgical management of unstable thoracolumbar burst fractures. MATERIAL AND METHODS Fifty-five consecuti...

Objective The incidence of thoracolumbar fractures is increasing in modern society concomitantly with population aging. role percutaneous vertebroplasty as a possible treatment option for remains unclear. Methods In this study, we retrospectively reviewed clinical and radiological factors, including sex, age, bone mineral density, mechanisms injury, fracture levels, the Magerl classification 10...

In thoracolumbar spinal fractures with posterior column injury for applying proper management, it is important to distinguish a flexion-distraction injury (FDI) from a three column burst fracture (BF) as in clinical examination, both may have a similar significant tenderness on direct spinal palpation. Careful attention to the comprehensive clinical examination and detailed imaging features are...

BACKGROUND Posterior pedicle screw fixation has become a popular method for treating thoracolumbar burst fractures. However, it remains unclear whether additional fusion could improve clinical and radiological outcomes. This meta-analysis was performed to evaluate the effectiveness of fusion as a supplement to pedicle screw fixation for thoracolumbar burst fractures. METHODOLOGY/PRINCIPAL FIN...

OBJECTIVE Posterior longitudinal ligament reduction (PLLR) has been widely used for treatment of thoracolumbar burst fractures. However, there are no systemic studies assessing the influence of position parameters of intra-canal fracture fragment (IFF) itself on outcome of reduction. The aim of this study was to analyze the relationship between position parameters of IFF and the reduction effic...

Posterior pedicle screw fixation has become a popular method for treating thoracolumbar burst fractures. However, it remains unclear whether additional fixation of more segments could improve clinical and radiological outcomes. This meta-analysis was performed to evaluate the effectiveness of fixation levels with pedicle screw fixation for thoracolumbar burst fractures. MEDLINE, EMBASE, the Coc...

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...