Classification of thoracic spine fractures: the four-column theory.

Autor: Aldakheel DA; Colleg of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. daldakheel@iau.edu.sa.; Department of Orthopaedic Surgery, King Fahd Hospital of the University, Khobar, Saudi Arabia. daldakheel@iau.edu.sa.
Jazyk: angličtina
Zdroj: International orthopaedics [Int Orthop] 2023 Dec; Vol. 47 (12), pp. 2907-2915. Date of Electronic Publication: 2023 Mar 21.
DOI: 10.1007/s00264-023-05778-x
Abstrakt: 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.
(© 2023. The Author(s).)
Databáze: MEDLINE
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