Principles of Endoscopic Techniques to the Thoracic and Lumbar Spine

McCullen, Geoffrey M.; Criscitiello, Arnold A.; Yuan, Hansen A.

doi:10.1007/3-540-29490-2_18

Cited by 1 publication

(1 citation statement)

References 44 publications

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“…He proposed a classification based on two-column model, incorporating: flexion, flexion and rotation, extension, and compression. Other researchers support the notion that spine fracture results from exaggerated movement [21,22]. On the other hand, commonly used classifications in other spine regions were established on common forces acting on the spine, such as compression, distraction, and torsion [8,11].…”

Section: Discussionmentioning

confidence: 95%

Classification of thoracic spine fractures: the four-column theory

Al-Dakheel

2023

International Orthopaedics (SICOT)

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Purpose The purpose of this study is to present a classification of thoracic spine fractures based on anatomical and biomechanical characteristics. Methods This is a narrative review of the literature. Results The classification is based on the relationship between movement and common forces acting on the spine. A mechanistic concept is incorporated into the classification, which considers both movements and the application of forces, leading to pathomorphological characteristics. A hierarchical ranking determines the severity of fractures within the thoracic spine, and treatment recommendations are presented in each category. The fourth column of the spine is incorporated into the classification through direct and indirect mechanisms. Conclusions The proposed classification accommodates several advantages, such as simplicity and practicality, that make this classification helpful in daily practice. The dynamic relationship between movement and force provides a better understanding of the fracture mechanism. Finally, incorporating the fourth column will strengthen the indication for surgical management. To the best of our knowledge, this classification is the first classification developed uniquely for the thoracic spine fractures and will help to address a critical gap in the literature.

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Section: Discussionmentioning

confidence: 95%

Classification of thoracic spine fractures: the four-column theory

Al-Dakheel

2023

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

Principles of Endoscopic Techniques to the Thoracic and Lumbar Spine

Cited by 1 publication

References 44 publications

Classification of thoracic spine fractures: the four-column theory

Classification of thoracic spine fractures: the four-column theory

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