Abstract
Spine specialists continue to debate how to best treat various types of thoracolumbar injuries. The first step in standardizing optimal treatment is for orthopedists, neurosurgeons, and rehabilitation specialists to arrive at a consensus regarding the classification of thoracolumbar fractures. Beginning with Böhler in 1931, there have been several attempts to forward thoracolumbar injury classifications systems since the advent of the radiograph. Throughout this period, surgeons and other health care providers have debated whether an effective injury classification system should be based upon the mechanism of injury or the morphology of injured tissues. A systematic review of the literature on thoracolumbar spine trauma classification systems, emphasizing contrasting features of mechanistic and morphometic paradigms, was conducted by 40 spine surgeons from 15 trauma centers in 10 countries. As a contemporary example of this debate, we also discuss 2 recently validated thoracolumbar-fracture classification systems developed by the Spine Trauma Study Group: one is predicated on injury mechanism (Thoracolumbar Injury Severity Score [TLISS]) and the other uses injury morphology (Thoracolumbar Injury Classification and Severity Score [TLICS]).
| Original language | English (US) |
|---|---|
| Pages (from-to) | 70-78 |
| Number of pages | 9 |
| Journal | Topics in Spinal Cord Injury Rehabilitation |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jun 1 2006 |
| Externally published | Yes |
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Keywords
- Injury classification
- Spine surgery
- Spine trauma
- TLICS
- TLISS
- Thoracolumbar injury
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
- Clinical Neurology
Cite this
Evolution of thoracolumbar trauma classification systems : Assessing the conflict between mechanism and morphology of injury. / Anand, Neel; Vaccaro, Alexander R.; Lim, Moe R.; Lee, Joon Y.; Arnold, Paul; Harrop, James S.; Ratlif, John; Rampersaud, Raja; Bono, Christopher M.
In: Topics in Spinal Cord Injury Rehabilitation, Vol. 12, No. 1, 01.06.2006, p. 70-78.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Evolution of thoracolumbar trauma classification systems
T2 - Assessing the conflict between mechanism and morphology of injury
AU - Anand, Neel
AU - Vaccaro, Alexander R.
AU - Lim, Moe R.
AU - Lee, Joon Y.
AU - Arnold, Paul
AU - Harrop, James S.
AU - Ratlif, John
AU - Rampersaud, Raja
AU - Bono, Christopher M.
PY - 2006/6/1
Y1 - 2006/6/1
N2 - Spine specialists continue to debate how to best treat various types of thoracolumbar injuries. The first step in standardizing optimal treatment is for orthopedists, neurosurgeons, and rehabilitation specialists to arrive at a consensus regarding the classification of thoracolumbar fractures. Beginning with Böhler in 1931, there have been several attempts to forward thoracolumbar injury classifications systems since the advent of the radiograph. Throughout this period, surgeons and other health care providers have debated whether an effective injury classification system should be based upon the mechanism of injury or the morphology of injured tissues. A systematic review of the literature on thoracolumbar spine trauma classification systems, emphasizing contrasting features of mechanistic and morphometic paradigms, was conducted by 40 spine surgeons from 15 trauma centers in 10 countries. As a contemporary example of this debate, we also discuss 2 recently validated thoracolumbar-fracture classification systems developed by the Spine Trauma Study Group: one is predicated on injury mechanism (Thoracolumbar Injury Severity Score [TLISS]) and the other uses injury morphology (Thoracolumbar Injury Classification and Severity Score [TLICS]).
AB - Spine specialists continue to debate how to best treat various types of thoracolumbar injuries. The first step in standardizing optimal treatment is for orthopedists, neurosurgeons, and rehabilitation specialists to arrive at a consensus regarding the classification of thoracolumbar fractures. Beginning with Böhler in 1931, there have been several attempts to forward thoracolumbar injury classifications systems since the advent of the radiograph. Throughout this period, surgeons and other health care providers have debated whether an effective injury classification system should be based upon the mechanism of injury or the morphology of injured tissues. A systematic review of the literature on thoracolumbar spine trauma classification systems, emphasizing contrasting features of mechanistic and morphometic paradigms, was conducted by 40 spine surgeons from 15 trauma centers in 10 countries. As a contemporary example of this debate, we also discuss 2 recently validated thoracolumbar-fracture classification systems developed by the Spine Trauma Study Group: one is predicated on injury mechanism (Thoracolumbar Injury Severity Score [TLISS]) and the other uses injury morphology (Thoracolumbar Injury Classification and Severity Score [TLICS]).
KW - Injury classification
KW - Spine surgery
KW - Spine trauma
KW - TLICS
KW - TLISS
KW - Thoracolumbar injury
UR - http://www.scopus.com/inward/record.url?scp=33745296479&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745296479&partnerID=8YFLogxK
U2 - 10.1310/FW11-BWYK-YXU7-C5N3
DO - 10.1310/FW11-BWYK-YXU7-C5N3
M3 - Review article
AN - SCOPUS:33745296479
VL - 12
SP - 70
EP - 78
JO - Topics in Spinal Cord Injury Rehabilitation
JF - Topics in Spinal Cord Injury Rehabilitation
SN - 1082-0744
IS - 1
ER -