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SYMPOSIUM - SPINAL TRAUMA
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 71-78

A review of thoracolumbar spine fracture classification systems


Department of Orthopaedics, Dr. Mehta's Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:
Parthasarathy Srinivasan
No. 5, Kalyani Nagar, Kottivakkam, Thiruvanmiyur, Chennai - 600 041, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/isj.isj_14_18

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Thoracolumbar spine fractures form a significant portion of any spine surgeon's practice. It is important to classify the injuries, which may vary from minor transverse process fractures to unstable fracture–dislocations in order to aid communication, plan management, anticipated outcome, and prognosis. It is imperative that such a classification must be simple, reliable, comprehensive, and reproducible as well as be validated by multiple observers. In spite of having several classification systems in practice, the ideal one remains elusive. This article reviews the history of classification, evolution of the classifications, the relative merits and demerits of each classification, and highlighting the lacunae which the subsequent line of thought intended to fill. Till date, the AOSpine thoracolumbar spine injury severity system is probably the most comprehensive and management-oriented classification after Magerl and Denis.


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