RT Generic
T1 Classifying thoracolumbar fractures: role of quantitative imaging
A1 Ruiz Santiago, Fernando
A1 Tomas Munoz, Pablo
A1 Moya Sanchez, Elena
A1 Revelles Paniza, Marta
A1 Martinez Martinez, Alberto
A1 Perez Abela, Antonio Luis
K1 Vertebral fractures
K1 thoracolumbar trauma
K1 spinal injuries
K1 plain radiography
K1 computed tomography
K1 Posterior ligamentous complex
K1 Spinal-cord-injury
K1 Computed-tomography
K1 Lumbar spine
K1 Vertebral fracture
K1 Burst fractures
K1 Blunt trauma
K1 Classification
K1 Management
K1 Dislocations
AB This article describes different types of vertebral fractures that affect the thoracolumbar spine and the most relevant contributions of the different classification systems to vertebral fracture management. The vertebral fractures types are based on the three columns model of Denis that includes compression, burst, flexion-distraction and fracture-dislocation types. The most recent classifications systems of these types of fractures are reviewed, including the Thoracolumbar Injury Classification and Severity score (TLICS) and the Arbeitsgemeinschaft fr Osteosynthesefragen Spine Thoracolumbar Injury Classification and Severity score (AOSpine-TLICS). Correct classification requires a quantitative imaging approach in which several measurements determine TLICS or AOSpine-TLICS grade. If the TLICS score is greater than 4, or the AOSpine-TLICS is greater than 5, surgical management is indicated. In this review, the most important imaging findings and measurements on radiography, multidetector computed tomography (MDCT) and magnetic resonance imaging (MRI) are described. These include degree of vertebral wedging and percentage of vertebral height loss in compression fractures, degree of interpedicular distance widening and spinal canal stenosis in burst fractures, and the degree of vertebral translation or interspinous widening in more severe fractures types, such as flexion-distraction and fracture-dislocation. These findings and measurements are illustrated with schemes and cases of our archives in a didactic way.
PB Ame publ co
SN 2223-4292
YR 2016
FD 2016-12-01
LK http://hdl.handle.net/10668/19473
UL http://hdl.handle.net/10668/19473
LA en
DS RISalud
RD Apr 6, 2025