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European Spine Journal
Published in: European Spine Journal 8/2017

01-08-2017 | Letter to the Editor

Letter to the Editor concerning “The surgical algorithm for the AOSpine thoracolumbar spine injury classification system” by A. R. Vaccaro et al. Eur Spine J (2016);25(4):1087–1094

Authors: Andrea Piazzolla, Giuseppe Solarino, Biagio Moretti

Published in: European Spine Journal | Issue 8/2017

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Excerpt

Vaccaro et al. describe a surgical algorithm to accompany the AOSpine thoracolumbar spine injury classification system, the thoracolumbar AOSpine Injury score (TL AOSIS), but, although it presents several advantages, patients with A3 fractures need much more attention. Although these fractures are initially classified as non-operative by the AOSpine Trauma Knowledge Forum according to the algorithm, often, the choice of the minimally invasive surgery is preferred mostly when there is a high likelihood of subsequent kyphotic deformity [1‐5]. …
Literature
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Vaccaro AR, Schroeder GD, Kepler CK, Cumhur Oner F, Vialle LR, Kandziora F, Koerner JD, Kurd MF, Reinhold M, Schnake KJ, Chapman J, Aarabi B, Fehlings MG, Dvorak MF (2016) The surgical algorithm for the AOSpine thoracolumbar spine injury classification system. Eur Spine J 25(4):1087–1094CrossRefPubMed
2.
Kepler CK, Vaccaro AR, Schroeder GD, Koerner JD, Vialle LR, Aarabi B, Rajasekaran S, Bellabarba C, Chapman JR, Kandziora F, Schnake KJ, Dvorak MF, Reinhold M, Oner FC (2016) The thoracolumbar AOSpine injury score. Global Spine J 6(4):329–334CrossRefPubMed
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Mattei TA, Hanovnikian J, Dinh H (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):2255–2262CrossRefPubMed
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Hitchon PW, Abode-Iyamah K, Dahdaleh NS, Shaffrey C, Noeller J, He W, Moritani T (2016) Nonoperative management in neurologically intact thoracolumbar burst fractures: clinical and radiographic outcomes. Spine 41(6):483–489CrossRefPubMed
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Shen J, Xu L, Zhang B, Hu Z (2015) Risk factors for the failure of spinal burst fractures treated conservatively according to the Thoracolumbar Injury Classification and Severity Score (TLICS): a retrospective cohort trial. PLoS One 10(8):e0135735CrossRefPubMedPubMedCentral
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McCormack T, Karaikovic E, Gaines RW (1994) The load sharing classification of spine fractures. Spine 19(15):1741–1744CrossRefPubMed
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Machino M, Yukawa Y, Ito K, Kanbara S, Kato F (2013) The complement of the load-sharing classification for the thoracolumbar injury classification system in managing thoracolumbar burst fractures. J Orthop Sci 18(1):81–86CrossRefPubMed
Metadata
Title
Letter to the Editor concerning “The surgical algorithm for the AOSpine thoracolumbar spine injury classification system” by A. R. Vaccaro et al. Eur Spine J (2016);25(4):1087–1094
Authors
Andrea Piazzolla
Giuseppe Solarino
Biagio Moretti
Publication date
01-08-2017
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue 8/2017
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-017-5174-8

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