J Korean Soc Traumatol Search

CLOSE


Journal of the Korean Society of Traumatology 2005;18(1):26-32.
Classification of Vertebral Body Fractures with Two-l evel Posterior Column Injuries of the Thoracolumbar Spine
Young-Do Koh, M.D., Hoon Jeong, M.D.*, and Sung-Gu Yeo, M.D.*
Department of Orthopedic Surgery, College of Medicine, Ewha Woman’s University, Seoul, Korea, Department of Orthopedic Surgery, Seoul Red-Cross Hospital, Seoul, Korea*
두 개의 수준을 침범한 후주손상을 동반한 흉요추부 추체 골절의 분류
고영도·정훈*·여성구*
이화여자대학교 의과대학 정형외과학교실, 서울적십자병원 정형외과*
Abstract
Purpose
We evaluate the characteristics of vertebral body fractures in two level flexion-distraction injuries of the thoracolumbar spine Methods: The findings of radiographs, computed tomographs, and MRIs of 43 patients with flexion-distraction injuries combined with vertebral body fractures were retrospectively evaluated. We divided the patients with bursting fractures into two groups, the distractive group (posterior vertebral height ratio >1) and the compressive group (vertebral height ratio <1). Results: There were 23 compression fractures and 20 bursting fractures. In bursting fractures, the distractive group had 5 cases, and the compressive group 15 cases. In 24 cases (55.8%), the interspinous distances were widened. The average of the canal encroachment was 4% in the distractive group and 40% in the compressive group. At last follow-up, the average loss of correction was 2.0 degree in compression fractures and 2.7 degree in bursting fractures. Conclusion: The configurations of vertebral body fractures in flexion-distraction injuries of the thoracolumbar spine were varied as to the location of the axis of flexion. Because bursting fractures in flexion-distraction injuries had distractive or compressive features, one should consider that in establishing operative plan.
Key Words: Thoracolumbar spine; Flexion-distraction injury; Vertebral body fracture
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 379 View
  • 1 Download
Related articles in
J Trauma Inj

Radiologic Indicators on Neurology Injury in Burst Fractures of the Thoracolumbar Spine2003 June;16(1)



ABOUT
BROWSE ARTICLES

Browse all articles >

EDITORIAL POLICY
FOR CONTRIBUTORS
FOR READERS
Editorial Office
2619 Twincity-namsan, 366, Hangang-daero, Yongsan-gu, Seoul. 04323, Korea
Tel: +82-10-4391-0788    E-mail: office@jtraumainj.org                

Copyright © 2022 by The Korean Society of Traumatology.

Developed in M2PI

Close layer
prev next