Operative Treatment of Thoracolumbar Burst Fractures: Is Fusion Necessary?

HSS Journal - Volume 11, Number 2, July 2015

Michael C. Fu, MD, MHS
Hospital for Special Surgery, New York, NY

Venu M. Nemani, MD, PhD
Hospital for Special Surgery, New York, NY

Todd J. Albert, MD
Todd J. Albert, MD

Surgeon-in-Chief and Medical Director, Hospital for Special Surgery
Chairman, Department of Orthopedic Surgery, Weill Cornell Medical College
Professor of Orthopedic Surgery, Weill Cornell Medical College

Introduction

Burst fractures of the thoracolumbar junction and upper lumbar spine (T12–L2) are common injuries as a result of high-energy trauma, with potentially devastating consequences including pain, paralysis, and loss of function [8]. The thoracolumbar junction, especially, is highly susceptible to injury as it is a fulcrum for increased motion between the rigid thoracic spine and mobile lumbar spine. Burst fractures can often result in significant spinal instability requiring operative stabilization.

This article appears in the HSS Journal: Volume 11, Issue 2.
View the full HSS Journal article at springerlink.com.

About the HSS Journal

HSS Journal, an academic peer-reviewed journal published three times a year, February, July and October. The Journal accepts and publishes peer reviewed articles from around the world that contribute to the advancement of the knowledge of musculoskeletal diseases and disorders.

 

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