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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Case 5 Look at the images.

Spine injury – TLICS Classification

Widening or dislocation of facet joints. Compression of the spinal cord. Here a fracture that just looks like another compression fracture on the lateral view.

In some cases it is difficult to decide whether you are dealing with distraction combined with a compression fracture or with a compression fracture with PLC-injury. There were no statistically significant differences among these values, but there were epistemological differences. In this case the main findings are the horizontal fractures of ve posterior elements.

AO Surgery Reference

In this case we are not sure. At surgery the rupture of the supraspinous ligament was confirmed red and black arrows. Now when you describe such a fracture the first word in your report should be distractioni.


Distraction is the result of displacement in the vertical plane. Even though there is not much displacement at this moment, we should probably call this translation injury. The MRI tells us the whole story. The treatment will depend on the PLC integrity and the neurological status. Furthermore, the word stability itself is ambiguous and clasiflcacion refer to direct osseous stability; it may refer to neurological stability and finally, to long-term ligamentous stability. On the axial clasifixacion we see: A problem with classifications such as the AO-classification is that they are usually complex, leading to high inter-reader variability.

This is the severe variant of a compression fracture with higher risk of neurologic deficits.

Vertebral body translation or rotation. CT features of PLC pathology are: The key point in this case is that you should not describe this morphology as burst – 2 points. A distraction injury on the posterior side can lead to a compression fracture ce the anterior side.

Sagittal fracture of vertebral body and posterior element. This type of fracture includes all fractures that are the result of displacement in the horizontal plane: On the right with kyphosis. A parameter can be scored points and the total score is the sum of clasificacjon parameters with a maximum of 10 points. As long as there is no free fragment with posterior displacement, it is a wedge compression fracture and not a burst fracture.


There is major disruption of the PLC of both the ligamenta flava and the interspinous ligament. The role of the radiologist is to report the following: Sternum fracture The image shows a vertebral fracture with a transverse fracture of the spinous process, but also a fracture of the sternum. Now when you look carefully at the lateral view, you will notice that the facets are separated. For these reasons the Spine Trauma Study Group introduced in the Thoracolumbar Injury Classification and Severity Scale 1with intention to be a reliable, ease-to-use tool to facilitate clinical decision making and as a practical alternative to cumbersome classification systems already in use.

The bone is usually very osteoporotic.

Compression is usually the result of axial force with flexion. However in this case the compression is the most prominent finding.