Lumbar Spine Fracture

Seung-Wook Back; Hyun-Joong Cho; Ye-Soo Park

doi:10.12671/jkfs.2011.24.3.277

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Back, Cho, and Park: Lumbar Spine Fracture

Review Article

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2011; 24(3): 277-287.

Published online: 15 July 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.3.277

Lumbar Spine Fracture

Seung-Wook Back, M.D., Hyun-Joong Cho, M.D, Ye-Soo Park, M.D.

Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea.

Address reprint requests to: Ye-Soo Park, M.D. Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, 249-1, Kyomun-dong, Guri 471-701, Korea. Tel: 82-31-560-2317, Fax: 82-31-557-8781, hyparkys@hanyang.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

Standard form for determining the American Spinal Injury Association (ASIA) classification of spinal cord.

Fig. 2

The Denis three-column model of spinal injury9). The anterior column consists of the anterior longitudinal ligament (ALL), anterior half of the anulus fibrosus (AF), and anterior wall of the vertebral body. The middle column consists of the posterior longitudinal ligament (PLL), posterior half of the anulus fibrosus, and posterior wall of the vertebral body. The posterior column consists of the posterior osseous arch, supraspinous ligament (SSL), interspinous ligament (ISL), ligamentum flavum (LF), and facet joint capsule (C).

Fig. 3

Denis classification of thoracolumbar compression fractures9).

Fig. 4

Denis classification of thoracolumbar burst fractures9).

Fig. 5

The finite element models of thoracolumbar spine segments with different anteroposterior fixation techniques were developed27).

Fig. 6

A 69-year old man sustained flextion-distraction injury at T12-L1 by fall down (A, B).

Preoperative CT showed clear fracture line at the L1 body and T12 lamina (C).

Preoperative MRI showed posterior complex injury T12-L1 level (D).

Postoperative radiograph showing the posterior instrumentation used in this patient (E, F).

Fig. 7

A 50-year old female got injured by a fall from height, who was diagnosed with incompleted paraplegia due to the cord injury with unstable bursting fracture at L2 (A, B).

The preoperative CT (C) and MRI (D) showed the cord compressed by the retropulsed bony fragments. she underwent indirect reduction by ligamentotaxis using segmental pedicle screw instrumentation from T12 to L4 with distraction and corpectomy, L2 with anterior interbody fusion (E, F).

Postoperative CT (G) shows the cord decompressed after the operation, the patient has recovered from the incomplete paraplegia.

Table 1

American Spinal Injury Association (ASIA) impairment scale

References

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