Journal of Yeungnam Medical Science
- 제19권2호
- /
- Pages.73-91
- /
- 2002
- /
- 2799-8010(eISSN)
흉요추부 손상
Thoracolumbar Spine Injury
-
안면환
(영남대학교 의과대학 정형외과학교실)
-
Ahn, Myun-Whan
(Department of Orthopedic Surgery, Yeungnam University, College of Medicine)
- Published : 2002.12.30
Abstract
Method of management of the spine injury should be determined, based on the status of neurological injury as well as on the presence of traumatic instability. At the thoracic and lumbar spine, patterns of neurological injury are different from the cervical spine due to their neuro-anatomical characteristics. Especially, at the thoracolumbar junction, neurological injury patterns with their respective prognosis vary from the complete cord injury or conus medullaris syndrome to the cauda equina syndrome according to the injury level. The concept of Holdsworth's instability based on the posterior ligament complex theory has evolved into the current 3-column theory of Denis. Flexion-rotation injury and fracture-dislocation are well known to be unstable that surgical fixation is frequently needed for these injuries. However, there have been some controversies for the stability of burst fractures and their treatment, such as indirect or direct decompression and anterior or posterior approach. In this article, current concepts and management of traumatic instabilities at the thoracic and lumbar spine have been reviewed and summarized.