background and purpose: decision-making process in thoracolumbar and lumbar burst fracture (tlbf) patients with thoracolumbar injury severity and classification score (tlics) > 4 is remained controversial. on the other hand, the question is whether that the oswestry disability index (odi) can be use to assess to clinical outcomes in these patients . we aimed to study the correlation between the...

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 ...

PURPOSE The proposed the thoracolumbar injury classification system (TLICS) for thoracolumbar injury cites the integrity of the posterior ligamentous complex (PLC). However, no report has elucidated the severity of damage in thoracic and lumbar injury with classification schemes by presence of the PLC injury. The purpose of this study was to accurately assess the severity of damage in thoracic ...

RATIONALE Burst fractures in thoracolumbar and lumbar spine typically occur from severe trauma, which may result in cauda equina herniation (CEH). In this study, we attempted to document the incidence and evaluate the sequelae of CEH that were found during decompression and fusion surgery for patients with burst fractures. PATIENT CONCERNS A total of 416 patients were enrolled in this study. ...

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...

PURPOSE To assess whether canal compromise determines neurological deficit in thoracolumbar and lumbar burst fractures. METHODS 105 patients aged 17 to 60 (mean, 34) years who had burst fractures in the thoracolumbar (n=82) and lumbar (n=23) regions were included. Fractures were classified according to the Denis classification. The extent of spinal canal compromise was assessed by computed to...

INTRODUCTION TO THORACOLUMBAR SPINE FRACTURES ASSESSMENT OF THORACOLUMBAR SPINE FRACTURES Thoracolumbar Spine Fracture Injury Mechanisms Injuries Associated with Thoracolumbar Spine Fractures Signs and Symptoms Imaging and Other Diagnostic Studies Classification Outcomes PATHOANATOMY AND APPLIED ANATOMY RELATING TO THORACOLUMBAR SPINE FRACTURES THORACOLUMBAR SPINE FRACTURE TREATMENT OPTIONS: CO...

Eck and collaborators are to be congratulated for detailing an elegant treatment approach to thoracolumbar burst fractures in their ‘‘Minimally invasive corpectomy and posterior stabilization for lumbar burst fracture’’ case report [1]. Although satisfying, their report leaves us with questions that these authors (and the hundreds of contributors before them) have been unable to answer. Some of...

Burst fractures most frequently affect the thoracolumbar spine due to the fulcrum of increased motion occurring at the T12-L1 junction. However, isolated burst fractures of the fifth lumbar (L5) vertebra can occur but are very rare. We present a woman with a fracture-dislocation of the fifth lumbar vertebra complicated by neurological damage. She was treated by posterior surgery with transpedic...