Operative Treatment of Thoracolumbar Spine Fractures

Abstract

Thoracolumbar spine fractures are increasingly treated operatively. Advances in surgical techniques, including minimal invasive procedures, the improvement of implants and instruments, and better anaesthesiologic management have contributed to this development. However evidence based guidelines to decide which spinal injuries benefit from operative treatment are still lacking. Especially the treatment of burst fractures is still controversial. A basic understanding of the pathophysiologic mechanisms, a good interpretation of X-rays and CT, and a correct classification of these injuries are therefore important factors in making a well-founded decision whether to operate or not. When operative treatment is indicated one has to decide on the best approach, depending on the level of the injury, the fracture type, narrowing of the spinal canal and/or neurological symptoms, as well as the general condition of the patient and the experience of the surgeon.

Key words

Thoracolumbar fracture - operative treatment - fracture classification - surgical approach

References

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