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European Spine Journal

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01-02-2015 | Letter to the Editor

How to use the load-sharing classification of spine fractures?

Letter to the editor regarding ‘‘Progressive kyphotic deformity in comminuted burst fractures treated non-operatively: the Achilles tendon of the Thoracolumbar Injury Classification and Severity Score (TLICS)’’ by Tobias A Mattei, Joseph Hanovnikian, Dzung H. Dinh (2014) Eur Spine J. doi:10.1007/s00586-014-3312-0

Authors: Hongli Wang, Jianyuan Jiang

Published in: European Spine Journal | Issue 2/2015

Excerpt

We were interested to read the grand rounds Mattei et al. [“Progressive kyphotic deformity in comminuted burst fractures treated non-operatively: the Achilles tendon of the Thoracolumbar Injury Classification and Severity Score (TLICS)”]. The authors presented a L1 comminuted burst fracture case with the total score of 2 according to the TLICS classification, which was managed conservatively with a thoracolumbar brace. But after 12 months, the patient presented back with a major kyphotic deformity, and had to undergo a complex surgery. And the clinical effect of this case was not very satisfactory during the postoperative follow-up. The authors pointed that the TLICS classification system was obvious deficiencies for the clinical assessment of thoracolumbar burst fracture [1]. …

Mattei TA, Hanovnikian J, H Dinh D (2014) Progressive kyphotic deformity in comminuted burst fractures treated non-operatively: the Achilles tendon of the Thoracolumbar Injury Classification and Severity Score (TLICS). Eur Spine J 23(11):2255–2262PubMedCrossRef

McCormack T, Karaikovic E, Gaines RW (1994) The load sharing classification of spine fractures. Spine 19(15):1741–1744PubMedCrossRef

Kanna RM, Shetty AP, Rajasekaran S (2014) Posterior fixation including the fractured vertebra (PFFV) for severe unstable thoraco-lumbar fractures. Spine J. doi:10.1016/j.spinee.2014.09.004 [Epub ahead of print]

Jeong WJ, Kim JW, Seo DK, Lee HJ, Kim JY, Yoon JP, Min WK (2013) Efficiency of ligamentotaxis using PLL for thoracic and lumbar burst fractures in the load-sharing classification. Orthopedics 36(5):e567–e574PubMedCrossRef

Title: How to use the load-sharing classification of spine fractures?
Letter to the editor regarding ‘‘Progressive kyphotic deformity in comminuted burst fractures treated non-operatively: the Achilles tendon of the Thoracolumbar Injury Classification and Severity Score (TLICS)’’ by Tobias A Mattei, Joseph Hanovnikian, Dzung H. Dinh (2014) Eur Spine J. doi:10.1007/s00586-014-3312-0
Authors: Hongli Wang
Jianyuan Jiang
Publication date: 01-02-2015
Publisher: Springer Berlin Heidelberg
Published in: European Spine Journal / Issue 2/2015
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-014-3711-2

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How to use the load-sharing classification of spine fractures?

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