Preview

Russian journal of neurosurgery

Advanced search

Classification of injuries of the thoracic and lumbar spine

https://doi.org/10.17650/1683-3295-2021-23-2-112-128

Abstract

Fractures of the thoracic and lumbar spine are the main volume of injuries in the surgical practice of a neurosurgeon. Classification of injuries is important for standardizing the description of vertebral fractures and collecting statistical data. Important classification parameters are completeness, reliability, and reproducibility. In this paper, a detailed description and illustration of the most significant classifications of injuries of the thoracic and lumbar spine is carried out.

About the Authors

A. A. Grin
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department; A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090; Bld. 1, 20 Delegatskaya St., Moscow 127473



A. Yu. Kordonskiy
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

Anton Yurievich Kordonsky

3 Bolshaya Sukharevskaya Sq., Moscow 129090



B. A. Abdukhalikov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090



S. L. Arakelyan
City Clinical Hospital No. 13, Moscow
Russian Federation

1/1 Velozavodskaya St., Moscow 115280



I. S. Lvov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090



А. K. Kaikov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090



A. E. Talypov
N.V. Sklifosovsky Research Institute for Emergency Medicine, Moscow Healthcare Department
Russian Federation

3 Bolshaya Sukharevskaya Sq., Moscow 129090



A. V. Sytnik
City Clinical Hospital No. 13
Russian Federation

Moscow 1/1 Velozavodskaya St., Moscow 115280



References

1. Voronovich I.R., Petrenko A.M. Spinal injuries. In: Traumatology and Ortho-pedics: a guide for doctors in 3 volumes. Ed. by Yu.G. Shaposhnikov. Vol. 1. Chap. 1. Moscow: Medicina, 1997. Pp. 17–69. (In Russ.).

2. Anand N., Vaccaro A., Lim M. et al. Evaluation of thoracolumbar trauma classification systems: assessing the conflict between mechanism and morphology of injury. Top Spin Cord Inj Rehabil 2006;12:70–8.

3. Magerl F., Aebi M., Gertzbein S.D. et al. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 1994;3(4):184–201. DOI: 10.1007/BF02221591.

4. Vaccaro A.R., Lehman R.A., Hurlbert R.J. et al. A new classification of thoracolum-bar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine (Phila Pa 1976) 2005;30(20):2325–33. DOI: 10.1097/01.brs.0000182986.43345.cb.

5. Bohler L. Fracture and dislocation of the spine. The treatment of fractures. 5th edn. Ed. by L. Bohler, J. Bohler. New York: Grune & Stratton, 1956.

6. Holdsworth F. Fractures, dislocations and fracture-dislocations of the spine. J Bone Joint Surg 1963;45B:6–20.

7. Ulrich E.V. Vertebrology in terms, numbers, pictures. Ed. by E.V. Ulrich, A.Yu. Mushkin. St. Petersburg: ELBI-SPb, 2002. 187 p. (In Russ.).

8. Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 1983;8(8):817–31. DOI: 10.1097/00007632-198311000-00003.

9. Ferguson R.L., Allen B.L.Jr. A mechanistic classification of thoracolumbar spine fractures. Clin Orthop Relat Res 1984;(189):77–88.

10. Лумента Х. Нейрохирургия. Европейское руководство. В 2 томах. Т. 2. М.: Панфилова, 2013. 360 c. [Lumenta H. Neurosurgery. European guide. In 2 volumes. Vol. 2. Moscow: Panfilova, 2013. 360 p. (In Russ.)]

11. Magerl F., Aebi M., Gertzbein S.D. et al. A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 1994;3(4): 184–201. DOI: 10.1007/BF02221591.

12. McCormack T., Karaikovic E., Gaines R.W. The load sharing classification of spine fractures. Spine 1994;19(15):1741–4. DOI: 10.1097/00007632-199408000-00014.

13. Vaccaro A.R., Oner C., Kepler C.K. et al. AOSpine thoracolumbar spine injury classification system: fracture description, neurological status and key modifiers. Spine 2013;38(23):2028–37. DOI: 10.1097/BRS.0b013e3182a8a381.

14. Krylov V.V., Grin’ A.A., Lutsik A.A. et al. A protocol recom mended for treating acute complicated and uncomplicated spinal injuries in adult patients (Association of Neurosurgeons of Russia). Part 1. Zhurnal “Voprosy neirokhirurgii” im. N.N. Burdenko = Burdenkoʼs Journal of Neurosurgery 2014;78(6):60–67. (In Russ.). DOI: 10.17116/neiro201478660-67.

15. Vaccaro A.R., Schroeder G.D., Kepler C.K. et al. The surgical algorithm for the AOSpine thoracolumbar spine injury classification system. Eur Spine J 2015;25(4):1087–94. DOI: 10.1007/s00586-015-3982-2.


Review

For citations:


Grin A.A., Kordonskiy A.Yu., Abdukhalikov B.A., Arakelyan S.L., Lvov I.S., Kaikov А.K., Talypov A.E., Sytnik A.V. Classification of injuries of the thoracic and lumbar spine. Russian journal of neurosurgery. 2021;23(2):112-127. (In Russ.) https://doi.org/10.17650/1683-3295-2021-23-2-112-128

Views: 1293


ISSN 1683-3295 (Print)
ISSN 2587-7569 (Online)
X