Operative Techniques in Orthopaedics
Volume 17, Issue 3 , Pages 190-198 , July 2007

Thoracolumbar Spine Trauma

  • Archit Patel, MD

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University and The Rothman Institute, Philadelphia, PA.
  • ,
  • Zoe Brown, MD

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University and The Rothman Institute, Philadelphia, PA.
  • ,
  • Peter G. Whang, MD

      Affiliations

    • Yale University, New Haven, CT.
  • ,
  • Alexander R. Vaccaro, MD, FACS

      Affiliations

    • Department of Orthopaedic Surgery, Thomas Jefferson University and The Rothman Institute, Philadelphia, PA.
    • Corresponding Author InformationAddress reprint requests to Alexander R. Vaccaro, MD, FACS, Department of Orthopaedic Surgery and The Rothman Institute, 925 Chestnut Street, 5th Floor, Philadelphia, PA 19107.

References 

  1. Vaccaro AR, Kim DH, Brodke DS, et al. Diagnosis and management of thoracolumbar and sacral spine fractures. Instru Course Lect. 2004;53:375–385
  2. Oner FC, Ramos LM, Simmermacher RK, et al. Classification of thoracic and lumbar spine fractures: Problems of reproducibility (A study of 53 patients using CT and MRI). Eur Spine J. 2002;11:235–245
  3. Wood KB, Khanna G, Vaccaro AR, et al. Assessment of two thoracolumbar classification systems as used by multiple surgeons. J Bone Joint Surg Am. 2005;87:1423–1429
  4. Vaccaro AR, Zeiller SC, Hurlbut RJ, et al. The thoracolumbar injury severity score: A proposed treatment algorithm. J Spinal Disord Tech. 2005;18:309–315
  5. Vaccaro AR, Baron EM, Sanfilippo J, et al. Reliability of a novel classification system for thoracolumbar injuries: The Thoracolumbar Injury Severity Score. Spine. 2006;31:S62–S69
  6. Keene JS, Fischer SP, Vanderby R, et al. Significance of acute posttraumatic bony encroachment of the neural canal. Spine. 1989;14:799–802
  7. Jacobs RR, Casey MP. Surgical management of thoracolumbar spinal injuries (General principles and controversial considerations). Clin Orthop Relat Res. 1984;189:22–35
  8. Crutcher JP, Anderson PA, King HA, et al. Indirect spinal canal decompression in patients with thoracic and lumbar burst fractures by posterior distraction rods. J Spinal Disord. 1991;4:39–48
  9. Harrington RM, Budorick T, Hoyt J, et al. Biomechanics of indirect reduction of bone retropulsed into the spinal canal. Spine. 1993;18:692–699
  10. Sjostrom L, Karlstrom G, Pech P, et al. Indirect spinal canal decompression in burst fractures treated with pedicle screw instrumentation. Spine. 1996;21:113–123
  11. Wood K, Butterman G, Mehbod A, et al. Operative compared with nonoperative treatment of thoracolumbar fracture without neurological deficit: A prospective, randomized study. J Bone Joint Surg Am. 2003;85:773–781
  12. Gertzbein SD, Crowe PJ, Fazl M, et al. Canal clearance in burst fractures using the AO internal fixator. Spine. 1992;17:558–560
  13. Willen J, Lindahl S, Irstam L, et al. Unstable thoracolumbar fractures (A study by CT and conventional roentgenology of the reduction effect of Harrington instrumentation). Spine. 1984;9:214–219
  14. McCullen G, Vaccaro AR, Garfin SR. Thoracic and lumbar trauma: Rationale for selecting the appropriate fusion technique. Orthop Clin North Am. 1998;29:813–828
  15. Bohlman HH, Kirkpatrick JS, Delamarter RB, et al. Anterior decompression for late pain and paralysis after fractures of the thoracolumbar spine. Clin Orthop Relat Res. 1994;300:24–29
  16. McLain RF, Sparling E, Benson DR. Early failure of short-segment pedicle instrumentation for thoracolumbar fractures (A preliminary report). J Bone Joint Surg Am. 1993;75:162–167
  17. Katonis P, Christoforakis J, Kontakis G, et al. Complications and problems related to pedicle screw fixation of the spine. Clin Orthop. 2003;411:86–94
  18. Rechtine GR, Bono PL, Cahill D, et al. Postoperative wound infection after instrumentation of thoracic and lumbar fractures. J Orthop Trauma. 2001;15:566–569
  19. Gurr KR, McAfee PC, Shih CM. Biomechanical analysis of anterior and posterior instrumentation systems after corpectomy (A calf spine model). J Bone Joint Surg Am. 1988;70:1182–1191
  20. Breeze SW, Doherty BJ, Noble PS, et al. A biomechanical study of anterior thoracolumbar screw fixation. Spine. 1998;23:1829–1831
  21. An HS, Lim TH, You JW, et al. Biomechanical evaluation of anterior thoracolumbar spinal instrumentation. Spine. 1995;20:1979–1983
  22. Shen WJ, Liu TJ, Shen YS. Nonoperative treatment versus posterior fixation for thoracolumbar junction burst fractures without neurologic deficit. Spine. 2001;26:1038–1045
  23. Yue JJ, Sossan A, Selgrath C, et al. The treatment of unstable thoracic spine fractures with transpedicular screw instrumentation: A 3-year consecutive series. Spine. 2002;27:2782–2787
  24. Danisa OA, Shaffrey CI, Jane JA, et al. Surgical approaches for the correction of unstable thoracolumbar burst fractures: A retrospective analysis of treatment outcomes. J Neurosurg. 1995;83:977–983
  25. Been HD, Bouma GJ. Comparison of two types of surgery for thoraco-lumbar burst fractures: Combined anterior and posterior stabilization vs. posterior instrumentation only. Acta Neurochir (Wien). 1999;141:349–357
  26. Wood KB, Bohn D, Mehbod A. Anterior versus posterior treatment of stable thoracolumbar burst fractures without neurologic deficit: a prospective, randomized study. J Spinal Disord Tech. 2005;18:S15–S23
  27. Sasso RC, Cotler HB. Posterior instrumentation and fusion for unstable fractures and fracture-dislocations of the thoracic and lumbar spine (A comparative study of three fixation devices in 70 patients). Spine. 1993;18:450–460
  28. Slosar PJ, Patwardhan AG, Lorenz M, et al. Instability of the lumbar burst fracture and limitations of transpedicular instrumentation. Spine. 1995;20:1452–1461
  29. Kaneda K, Abumi K, Fujiya M. Burst fractures with neurologic deficits of the thoraco-lumbar spine (Results of anterior decompression and stabilization with anterior instrumentation). Spine. 1984;9:788–795
  30. McAfee PC, Bohlman HH, Yuan HA. Anterior decompression of traumatic thoracolumbar fractures with incomplete neurological deficit using a retroperitoneal approach. J Bone Joint Surg Am. 1985;67:89–104
  31. Kostuik JP. Anterior fixation for burst fractures of the thoracic and lumbar spine with or without neurological involvement. Spine. 1988;13:286–293
  32. Zdeblick TA, Shirado O, McAfee PC, et al. Anterior spinal fixation after lumbar corpectomy (A study in dogs). J Bone Joint Surg Am. 1991;73:527–534
  33. Ghanayem AJ, Zdeblick TA: Anterior instrumentation in the management of thoracolumbar burst fractures. Clin Orthop Relat Res 335:89-100
  34. Sasso RC, Best NM, Reilly TM, et al. Anterior-only stabilization of three-column thoracolumbar injuries. J Spinal Disord Tech. 2005;18:S7–S14
  35. Bradford DS, McBride GG. Surgical management of thoracolumbar spine fractures with incomplete neurologic deficits. Clin Orthop Relat Res. 1987;218:201–216
  36. Sasso RC, Renkens K, Hanson D, et al. Unstable thoracolumbar burst fractures: Anterior-only versus short-segment posterior fixation. J Spinal Disord Tech. 2006;19:242–248
  37. Esses SI, Botsford DJ, Kostuik JP. Evaluation of surgical treatment for burst fractures. Spine. 1990;15:667–673
  38. Gertzbein SD. Scoliosis Research Society (Multicenter spine fracture study). Spine. 1992;5:528–540

PII: S1048-6666(07)00038-9

doi: 10.1053/j.oto.2007.03.002

Operative Techniques in Orthopaedics
Volume 17, Issue 3 , Pages 190-198 , July 2007