Thoracolumbar Spinal Injuries

Heinzelmann, Michael; Wanner, Guido A.

doi:10.1007/978-3-540-69091-7_31

Cited by 13 publications

(22 citation statements)

References 104 publications

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“…Wang et al .studied on 20 patients with traumatic fracture of the thoracolumbar spine underwent spinal surgery and found that their mean age was 38.4 years (range 17 -66 years) which was similar to this study [17]. It was reported that thoracolumbar spine fractures were one of the most common fractures in the young healthy population [3] [17].…”

Section: Discussionsupporting

confidence: 84%

“…Epidemiological studies showed that thoracolumbar spine fractures are one of the most common fractures in the young healthy population and are more frequent in men (2/3) than in women (1/3). Peak incidence is between the ages of 20 and 40 years [3]. The susceptibility of the thoracolumbar transition is attributed mainly to the following anatomical reasons: The transition from a relatively rigid thoracic kyphosis to a more mobile lumbar lordosis occurs at T 11 -12 .…”

Section: Introductionmentioning

confidence: 99%

“…In the lumbosacral region, the facet joints are oriented in a more sagittal alignment, which increases the degree of potential flexion and extension at the expense of limiting lateral bending and rotation [3].…”

Section: Introductionmentioning

confidence: 99%

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Outcome of Long Segment Transpedicular Screw Fixation in Unstable Thoracolumbar Spine Injury with Incomplete Neurological Deficit

Karim¹,

Rahman²,

Sobhan³

et al. 2020

JBM

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Background: Long segment transpedicular screw fixation in thoracolumbar spine injury has gained popularity in the last decades as it provides immediate stability, prevents further risk of complications and allows early mobilization of patient. Objectives: Evaluation of clinical and functional outcome after long segment transpedicular screw fixation in unstable thoracolumbar spine injury with incomplete neurological deficit patients. Methods: This quasi experimental study was conducted at Dhaka Medical College and Hospital (DMCH), Dhaka, Bangladesh from January 2016 to December 2017. A total of twenty four (24) patients with traumatic unstable fracture of the thoracolumbar spine with incomplete neurological deficit underwent long segment transpedicular screw fixation were included in this study. Clinical and radiologic outcomes were assessed pre-operatively and post-operatively. Results: A total of 24 patients aged between 20-60 years of both sexes (Male-21, Female-03) were included in this study. Their mean (±SD) age was 33.12 (±8.57) years. Most of them were farmer [09 (37.5%)] and day labour [08 (33.33%)]. Motor vehicle accidents were the most common [16 (66.67%

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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Outcome of Long Segment Transpedicular Screw Fixation in Unstable Thoracolumbar Spine Injury with Incomplete Neurological Deficit

Karim¹,

Rahman²,

Sobhan³

et al. 2020

JBM

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“…Flexion is the most common mechanism producing a lumbar or thoracic spinal body and/or rib fracture. 24 The cervical spine can be injured when upper extremity strength is insufficient to protect the head and neck during a fall or in cases where the rider's head strikes the ground.…”

Section: Spinementioning

confidence: 99%

Injury History in the Collegiate Equestrian Athlete: Part I: Mechanism of Injury, Demographic Data and Spinal Injury

Pilato¹,

Henry²,

Malavase³

2017

JSMAHS

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ATC€, Drussila Malavase Co-Chair ASTM F08.55 Equestrian Safety¥ Monroe Community College ‡, State University New York; Brockport€, Equestrian Safety¥ Purpose: Equestrian sports are known to have a high risk and rate of injury. While there is injury data available on acute injuries in the equestrian population, it is of a general nature. Within that data appears to be a lack of information on the collegiate equestrian athlete. Thus, the purpose of the current study and this analysis is to describe the demographics and incidence of spinal injuries found in intercollegiate equestrian athlete. Method: A survey was developed with input from each author and implemented in Mach forms. It was sent to 43 equestrian coaches in the Eastern United States who passed it on to their athletes. We estimated 753 athletes would have access to the survey and had a total of 73 respondents. Descriptive statistics were calculated for total number of injuries for each injury category. Results: Demographic information, conditioning activity, riding style, pain medication use, total responses (injuries) per body area and injuries to the spine and pelvis are detailed in tables 1-6. Of interesting note is only 73% of respondents reported having access to or utilizing the school's athletic program as part of their participation on the schools equestrian team. Conclusions and Recommendations: The current study is amongst the first, if not the first, to report specifically on injury patterns and frequency in US collegiate equestrian athletes. There were several findings that from a sports medicine and athletic perspective are concerning. The lack of overall knowledge and research about the equestrian athlete would appear to put it in the same position as cheerleading was 20 years ago. Significantly more sport specific research is needed to improve the health and safety of the athletes.

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“…Spinal trauma occurs in approximately 10% of adult major trauma patients.1 Spinal fractures and dislocations without neurological injury account for the majority of spinal trauma (9.6% of trauma patients) and occur mainly in the thoracolumbar spine. 1,2 Around 50-60% of thoracolumbar fractures involve the T11-L2 levels. 2 However, spinal cord injury with or without fracture occurs in a much smaller proportion (1.8% of trauma patients) and tends to be most frequent in the cervical spine 1 .…”

mentioning

confidence: 99%

Comprehensive Radiological Assessment of Sub-axial Spinal Injury

et al. 2019

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Radiologists frequently interpret cross-sectional imaging of the spine in the setting of trauma. Mechanical stability of the traumatised spine is the single most important factor which guides further management. Several classification systems have been developed over the past to assist radiologists to judge the potentially unstable injuries. The radiologists are arguably most familiar with Denis system of classification which is based on injury morphology and mechanism. This system has been criticised for being too simple, not prognostically valuable and lack of consideration of patients' neurological status. AO (Arbeitsgemeinschaft für Osteosynthesefragen) and TLICS (Thoracolumbar Injury Classification and Severity Score ) classification systems are the next major evolutions which highlight the importance of the posterior ligamentous complex (PLC) and neurological status of the patients in predicting the potentially unstable fracture. The aim of this pictorial review is to familiarise radiologists with newer classification systems to improve their image interpretation skills and promote efficient communication with spinal surgeons. The pictorial examples are intended to illustrate the various injury types and how to classify them according to the aforementioned classification systems.

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Thoracolumbar Spinal Injuries

Cited by 13 publications

References 104 publications

Outcome of Long Segment Transpedicular Screw Fixation in Unstable Thoracolumbar Spine Injury with Incomplete Neurological Deficit

Outcome of Long Segment Transpedicular Screw Fixation in Unstable Thoracolumbar Spine Injury with Incomplete Neurological Deficit

Injury History in the Collegiate Equestrian Athlete: Part I: Mechanism of Injury, Demographic Data and Spinal Injury

Comprehensive Radiological Assessment of Sub-axial Spinal Injury

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