Hundreds of surgical procedures, reductions, fixations and approaches. Surgical decision making made easy with literature evaluated and prepared for quick. Download scientific diagram | Distribución de las fracturas según la clasificación de AO. from publication: Clinical study of intramedullary and extramedullary. Download scientific diagram | Clasificación AO de la fractura. from publication: Fijación posterior monosegmentaria en fracturas de la columna toracolumbar.

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The bone is usually very osteoporotic. But look at the spinous processes. Assuming the neurological exam was normal, this patient would still get 7 points. Furthermore, the word stability itself is ambiguous and may refer to direct osseous stability; it may refer to neurological stability and finally, to long-term ligamentous stability.

The MRI also shows disruption of the ligamentum flavum and a partial disruption of the interspinous ligament. However in this case the compression is the most prominent finding.
Bone marrow edema in several vertebral bodies, either due to contusion or fracture.
The anterior longitudinal ligament is disrupted. Notice that there are 3 vertebrae involved. The teaching point is: In many cases, however, there is no good correlation with the necessity for surgery. This is an interesting case since non-surgical management was initially attempted in this patient.
clasificacoon A torn PLC has a tendency not to heal and can lead to progressive kyphosis and collapse. Now in this case there are lots of other things going on, but sometimes these little pieces of bone are all you get. This type of fracture includes all fractures that are the result of displacement in the horizontal plane: The PLC is composed frwcturas the supraspinous ligaments, interspinous ligaments, articular facet capsules, and ligamenta flava figure.
In this case some would call this a burst fracture with PLC-injury i. You could call these compression fractures. On the right with kyphosis. Distraction A distraction injury is separation or pulling apart of two adjacent vertebrae. Ossification of the spinal ligaments and fractras of the annulus fibrosus alter the biomechanics of the spine, creating long lever feacturas and limiting the ability to absorb even minor impacts.
Even though there is not much displacement at this moment, we should probably call this translation injury. Sagittal fracture of vertebral body and posterior element. A distraction injury is separation or pulling apart of two adjacent vertebrae. Most classification systems of spine injuries are based on injury mechanisms and describe how the injury occurred.
When there are several fractures, each level has to be scored separately. Myelopathy or nerve compression.
The Radiology Assistant : Spine injury – TLICS Classification
Here a fracture that just looks like another compression fracture on the lateral view. The interspinous ligaments are weak, thin, membranous structures connecting the adjacent spinous processes. Now when you describe such a fracture the first word in your report should be distractioni. Retropulsion of posterosuperior vertebral body fragment Retropulsion of a fragment is the typical feature of a burst fracture and distinguishes it clearly from a simple compression fracture.
You could argue that these fractures of the spinous processes indicate distraction, i. Since the integrity of the PLC depends mostly on ligamentous structures, MR is sometimes needed to adequately diagnose pathology of clasificacio PLC, especially when there is no dislocation or disruption on CT.
In clasificafion cases it can be difficult to decide whether there clasificafion a burst fracture with a torn PLC or distraction with a torn PLC and a compression fracture figure.
AO/OTA Fracture and Dislocation Classification Compendium
Holmbergs classification is the most recommendable one. The supraspinous ligament is a strong, cpasificacion ligament which connects the tips of the spinous processes from C7 to the sacrum. Both of these commonly used systems fail to systematically take into account the neurological status of the patient and the indication for MRI to determine the integrity of the posterior ligamentous complex. Retrospective study consisting of concurrent, blind and independent assessments of a consecutive sample of 42 elbow X-rays AP and lateral of pediatric patients with supracondylar fractures.
Translation – Rotation This type of fracture includes all fractures that are the result of displacement in the horizontal plane: The MRI demonstrates rupture of the flava ligaments, interspinous and supraspinous ligaments as well as fracture of the posterior elements and compression of the vertebral body.
Case 5 Look at the images. Burst fracture This fractruas the severe variant of a compression fracture with higher risk of neurologic deficits. In the absence of a neurologic deficit, PLC integrity should be confirmed at MR imaging, especially if conservative management of a burst fracture is planned 3.
Patients with a rigid spine are more at risk for translation or distraction. What are the findings? The Holmberg and Gartland classifications had a mean correlation coefficient of 0.
TLICS score based on imaging clasificacipn 7 points. Using the popular Denis three-column classification may lead to another situation since it uses the terms stable and unstable.
AO Surgery Reference
This means that a patient can be treated non-surgically. Distraction- 4 points PLC: Here another distraction injury. There is not much else happening here. It is a severe injury since there is a high chance of cord injury when its osseous and ligamentous supporting structures are pulled apart.
As long as there is no free fragment with posterior displacement, it is a wedge compression fracture and not a burst fracture. Often unilateral or bilateral facet dislocation is seen in rotational fractures.
