eMedicine Specialties > Orthopedic Surgery > Spine
Thoracic Spine Fractures and Dislocations: Multimedia
Updated: Dec 12, 2007
Multimedia
![]() | Media file 1: Thoracic spine fractures and dislocations. Burst fracture T12. Note the widened interpedicular distance. |
![]() | Media file 2: Thoracic spine fractures and dislocations. Flexion distraction injury with facet dislocation. |
![]() | Media file 3: Thoracic spine fractures and dislocations. Fracture dislocation T2-T3. |
![]() | Media file 4: Thoracic spine fractures and dislocations. Preoperative axial CT image of burst fracture with partial neurologic deficit. |
![]() | Media file 6: Thoracic spine fractures and dislocations. Pedicle screw fixation of a T12 burst fracture. |
![]() | Media file 7: Thoracic spine fractures and dislocations. Anteroposterior (AP) radiograph of T12 burst fracture treated with cage strut and anterior instrumentation. |
![]() | Media file 8: Thoracic spine fractures and dislocations. Lateral radiograph of T12 burst fracture treated with cage strut and anterior stabilization. |
More on Thoracic Spine Fractures and Dislocations |
| Overview: Thoracic Spine Fractures and Dislocations |
| Workup: Thoracic Spine Fractures and Dislocations |
| Treatment: Thoracic Spine Fractures and Dislocations |
| Follow-up: Thoracic Spine Fractures and Dislocations |
Multimedia: Thoracic Spine Fractures and Dislocations |
| References |
| « Previous Page |
References
Browner BD, Jupiter JB, Levine AM, Trafton PG. Skeletal Trauma: Fractures, Dislocations, Ligamentous Injuries. WB Saunders Co;1998:841-2, 947-1027.
Chapman MW, Szabo RM, Vince KG, et al. Chapman's Orthopaedic Surgery. Lippincott Williams & Wilkins;2001:3719-3744.
Frymoyer JW, Ducker TB, Hadler NM, Kostuik JP, eds. The Adult Spine: Principles and Practice. 2nd ed. Lippincott-Raven;1991:1269-1324.
Holdsworth F. Fractures, dislocations, and fracture-dislocations of the spine. J Bone Joint Surg Am. Dec 1970;52(8):1534-51. [Medline].
Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 1983;8:817-831. [Medline].
Ohana N, Sheinis D, Rath E, et al. Is there a need for lumbar orthosis in mild compression fractures of the thoracolumbar spine?: A retrospective study comparing the radiographic results between early ambulation with and without lumbar orthosis. J Spinal Disord. Aug 2000;13(4):305-8. [Medline].
Lee HM, Kim HS, Kim DJ, et al. Reliability of magnetic resonance imaging in detecting posterior ligament complex injury in thoracolumbar spinal fractures. Spine. Aug 15 2000;25(16):2079-84. [Medline].
Rechtine GR. Nonsurgical treatment of thoracic and lumbar fractures. Instr Course Lect. 1999;48:413-6. [Medline].
Shen WJ, Liu TJ, Shen YS. Nonoperative treatment versus posterior fixation for thoracolumbar junction burst fractures without neurologic deficit. Spine. May 1 2001;26(9):1038-45. [Medline].
Weinstein JN, Collalto P, Lehmann TR. Thoracolumbar "burst" fractures treated conservatively: a long-term follow-up. Spine. 1988;13:33-8. [Medline].
Moller A, Hasserius R, Redlund-Johnell I, Ohlin A, Karlsson MK. Nonoperatively treated burst fractures of the thoracic and lumbar spine in adults: a 23- to 41-year follow-up. Spine J. Nov-Dec 2007;7(6):701-7. [Medline].
Alanay A, Acaroglu E, Yazici M, et al. Short-segment pedicle instrumentation of thoracolumbar burst fractures: does transpedicular intracorporeal grafting prevent early failure?. Spine. Jan 15 2001;26(2):213-7. [Medline].
Dendrinos GK, Halikias JG, Krallis PN, Asimakopoulos A. Factors influencing neurological recovery in burst thoracolumbar fractures. Acta Orthop Belg. 1995;61(3):226-34. [Medline].
Farcy JP, Weidenbaum M, Glassman SD. Sagittal index in management of thoracolumbar burst fractures. Spine. Sep 1990;15(9):958-65. [Medline].
Scholl BM, Theiss SM, Kirkpatrick JS. Short segment fixation of thoracolumbar burst fractures. Orthopedics. Aug 2006;29(8):703-8. [Medline].
Knop C, Fabian HF, Bastian L, Blauth M. Late results of thoracolumbar fractures after posterior instrumentation and transpedicular bone grafting. Spine. Jan 1 2001;26(1):88-99. [Medline].
Zdeblick TA, Warden KE, Zou D, et al. Anterior spinal fixators. A biomechanical in vitro study. Spine. Mar 15 1993;18(4):513-7. [Medline].
Zhao XL, Zhao HB, Wang B, Zhu XS, Li LZ, Zhang CQ. Lower cervical spine injury treated with lateral mass plates and pedicle screws through posterior approach. Chin J Traumatol. Jun 2005;8(3):160-4. [Medline].
Sasso RC, Best NM, Reilly TM, McGuire RA Jr. Anterior-only stabilization of three-column thoracolumbar injuries. J Spinal Disord Tech. Feb 2005;18 Suppl:S7-14. [Medline].
Pickett J, Blumenkopf B. Dural lacerations and thoracolumbar fractures. J Spinal Disord. Jun 1989;2(2):99-103. [Medline].
Youkilis AS, Quint DJ, McGillicuddy JE. Stereotactic navigation for placement of pedicle screws in the thoracic spine. Neurosurgery. 2001;48:778-9. [Medline].
Bransford R, Bellabarba C, Thompson JH, Henley MB, Mirza SK, Chapman JR. The safety of fluoroscopically-assisted thoracic pedicle screw instrumentation for spine trauma. J Trauma. May 2006;60(5):1047-52. [Medline].
McCullen G, Vaccaro AR, Garfin SR. Thoracic and lumbar trauma: rationale for selecting the appropriate fusion technnique. Orthop Clin North Am. Oct 1998;29(4):813-28. [Medline].
Parker JW, Lane JR, Karaikovic EE, Gaines RW. Successful short-segment instrumentation and fusion for thoracolumbar spine fractures: a consecutive 41/2-year series. Spine. May 1 2000;25(9):1157-70. [Medline].
Amin A, Saifuddin A. Fractures and dislocations of the cervicothoracic junction. J Spinal Disord Tech. Dec 2005;18(6):499-505. [Medline].
Dogan S, Safavi-Abbasi S, Theodore N, Chang SW, Horn EM, Mariwalla NR. Thoracolumbar and sacral spinal injuries in children and adolescents: a review of 89 cases. J Neurosurg. Jun 2007;106(6 Suppl):426-33. [Medline].
Gertzbein SD. Scoliosis Research Society. Multicenter spine fracture study. Spine. May 1992;17(5):528-40. [Medline].
McCormack T, Karaikovic E, Gaines RW. The load sharing classification of spine fractures. Spine. Aug 1 1994;19(15):1741-4. [Medline].
Oskouian RJ Jr, Sansur CA, Shaffrey CI. Congenital abnormalities of the thoracic and lumbar spine. Neurosurg Clin N Am. Jul 2007;18(3):479-98. [Medline].
Sizer PS Jr, Brismée JM, Cook C. Coupling behavior of the thoracic spine: a systematic review of the literature. J Manipulative Physiol Ther. Jun 2007;30(5):390-9. [Medline].
Further Reading
Keywords
spinal column injury, thoracolumbar injuries, neurologic injury, thoracic spine fractures, Denis classification, pedicle screw fixation
















Multimedia: Thoracic Spine Fractures and Dislocations