Burst fractures of the thoracolumbar spine (Part I): literature review

Authors

  • Vladimir A. Radchenko Sytenko Institute of Spine and Joint Pathology, Kharkiv, Ukraine
  • Konstantin A. Popsuyshapka Sytenko Institute of Spine and Joint Pathology, Kharkiv, Ukraine
  • Yuriy A. Babalyan Kharkiv Regional Clinical Hospital – Center of Emergency Medical Care and Disaster Medicine, Kharkiv, Ukraine
  • Sergii A. Teslenko Sytenko Institute of Spine and Joint Pathology, Kharkiv, Ukraine

DOI:

https://doi.org/10.25305/unj.111352

Keywords:

thoracic spine, lumbar spine, burst fracture, diagnosis, classification, treatment

Abstract

Current approach to the diagnosis, classification and prediction of the course of burst fractures of the thoracolumbar spine takes into account primarily the morphology and mechanical origin of the damage. The timing of surgical care depends on the general condition of the patient and his neurological status. It is also very important to take into account the history of the disease, namely whether movements were stored in the limbs right after the injury. In our opinion, this is a very important sign of the further course of the disease. Given a large range of classifications in our work we focus on the classification of F. Magler, and we use Denis F. classification in the McCormack T. version when choosing tactics for surgical intervention. The existing surgical classification is quite perfect, but it does not take into account the presence of neurological symptoms, but only the possibility of kyphotic deformation, without considering the possible rotational displacements. The gaining new knowledge in the field of biomechanics and morphology of burst vertebral fractures will improve the diagnosis and classification of damages.

Author Biographies

Vladimir A. Radchenko, Sytenko Institute of Spine and Joint Pathology, Kharkiv

Department of Instrumental and Minimally Invasive Spine Surgery

Konstantin A. Popsuyshapka, Sytenko Institute of Spine and Joint Pathology, Kharkiv

Department of Instrumental and Minimally Invasive Spine Surgery

Yuriy A. Babalyan, Kharkiv Regional Clinical Hospital – Center of Emergency Medical Care and Disaster Medicine, Kharkiv

Neurosurgical Department

Sergii A. Teslenko, Sytenko Institute of Spine and Joint Pathology, Kharkiv

Department of Instrumental and Minimally Invasive Spine Surgery

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Published

2017-12-22

How to Cite

Radchenko, V. A., Popsuyshapka, K. A., Babalyan, Y. A., & Teslenko, S. A. (2017). Burst fractures of the thoracolumbar spine (Part I): literature review. Ukrainian Neurosurgical Journal, (4), 10–17. https://doi.org/10.25305/unj.111352

Issue

Section

Review articles