PURPOSE: The proposed the thoracolumbar injury classification system (TLICS) for thoracolumbar injury cites the integrity of the posterior ligamentous complex (PLC). However, no report has elucidated the severity of damage in thoracic and lumbar injury with classification schemes by presence of the PLC injury. The purpose of this study was to accurately assess the severity of damage in thoracic and lumbar burst fractures with the PLC injuries. MATERIALS AND METHODS: One hundred consecutive patients treated surgically for thoracic and lumbar burst fractures were enrolled in this study. There were 71 men and 29 women whose mean age was 36 years. Clinical and radiologic data were investigated, and the thoracolumbar injury classification schemes were also evaluated. All patients were divided into two groups (the P group with PLC injuries and the C group without PLC injuries) for comparative examination. RESULTS: Fourth-one of 100 cases showed PLC injuries in MRI study. The load sharing classification score was significantly higher in the P group [7.8±0.2 points for the P group and 6.9±1.1 points for the C group (p<0.001)]. The TLICS (excluded PLC score) score was also significantly higher in the P group [6.2±1.1 points for the P group and 4.0±1.4 points for the C group (p<0.001)]. CONCLUSION: The presence of PLC injury significantly influenced the severity of damage. In management of thoracic lumbar burst fractures, evaluation of PLC injury is important to accurately assess the severity of damage.
PURPOSE: The proposed the thoracolumbar injury classification system (TLICS) for thoracolumbar injury cites the integrity of the posterior ligamentous complex (PLC). However, no report has elucidated the severity of damage in thoracic and lumbar injury with classification schemes by presence of the PLC injury. The purpose of this study was to accurately assess the severity of damage in thoracic and lumbar burst fractures with the PLC injuries. MATERIALS AND METHODS: One hundred consecutive patients treated surgically for thoracic and lumbar burst fractures were enrolled in this study. There were 71 men and 29 women whose mean age was 36 years. Clinical and radiologic data were investigated, and the thoracolumbar injury classification schemes were also evaluated. All patients were divided into two groups (the P group with PLC injuries and the C group without PLC injuries) for comparative examination. RESULTS: Fourth-one of 100 cases showed PLC injuries in MRI study. The load sharing classification score was significantly higher in the P group [7.8±0.2 points for the P group and 6.9±1.1 points for the C group (p<0.001)]. The TLICS (excluded PLC score) score was also significantly higher in the P group [6.2±1.1 points for the P group and 4.0±1.4 points for the C group (p<0.001)]. CONCLUSION: The presence of PLC injury significantly influenced the severity of damage. In management of thoracic lumbar burst fractures, evaluation of PLC injury is important to accurately assess the severity of damage.
Authors: James S Harrop; Alexander R Vaccaro; R John Hurlbert; Jared T Wilsey; Eli M Baron; Christopher I Shaffrey; Charles G Fisher; Marcel F Dvorak; F C Oner; Kirkham B Wood; Neel Anand; D Greg Anderson; Moe R Lim; Joon Y Lee; Christopher M Bono; Paul M Arnold; Y Raja Rampersaud; Michael G Fehlings Journal: J Neurosurg Spine Date: 2006-02
Authors: Alexander R Vaccaro; Ronald A Lehman; R John Hurlbert; Paul A Anderson; Mitchel Harris; Rune Hedlund; James Harrop; Marcel Dvorak; Kirkham Wood; Michael G Fehlings; Charles Fisher; Steven C Zeiller; D Greg Anderson; Christopher M Bono; Gordon H Stock; Andrew K Brown; Timothy Kuklo; F C Oner Journal: Spine (Phila Pa 1976) Date: 2005-10-15 Impact factor: 3.468
Authors: Nicole van der Roer; Elly S M de Lange; Fred C Bakker; Henrica C W de Vet; Maurits W van Tulder Journal: Eur Spine J Date: 2005-02-03 Impact factor: 3.134
Authors: J J Verlaan; C H Diekerhof; E Buskens; I van der Tweel; A J Verbout; W J A Dhert; F C Oner Journal: Spine (Phila Pa 1976) Date: 2004-04-01 Impact factor: 3.468
Authors: Fernando Ruiz Santiago; Pablo Tomás Muñoz; Elena Moya Sánchez; Marta Revelles Paniza; Alberto Martínez Martínez; Antonio Luis Pérez Abela Journal: Quant Imaging Med Surg Date: 2016-12
Authors: Iris Leister; Rainer Mittermayr; Georg Mattiassich; Ludwig Aigner; Thomas Haider; Lukas Machegger; Harald Kindermann; Anja Grazer-Horacek; Johannes Holfeld; Wolfgang Schaden Journal: Trials Date: 2022-04-01 Impact factor: 2.279