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Thoracolumbar spine trauma: Evaluation and surgical decision-making

INTRODUCTION: Thoracolumbar spine trauma is the most common site of spinal cord injury, with clinical and epidemiological importance. MATERIALS AND METHODS: We performed a comprehensive literature review on the management and treatment of TLST. RESULTS: Currently, computed tomography is frequently u...

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Detalles Bibliográficos
Autores principales: Joaquim, Andrei F., Patel, Alpesh A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872658/
https://www.ncbi.nlm.nih.gov/pubmed/24381449
http://dx.doi.org/10.4103/0974-8237.121616
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author Joaquim, Andrei F.
Patel, Alpesh A.
author_facet Joaquim, Andrei F.
Patel, Alpesh A.
author_sort Joaquim, Andrei F.
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description INTRODUCTION: Thoracolumbar spine trauma is the most common site of spinal cord injury, with clinical and epidemiological importance. MATERIALS AND METHODS: We performed a comprehensive literature review on the management and treatment of TLST. RESULTS: Currently, computed tomography is frequently used as the primary diagnostic test in TLST, with magnetic resonance imaging used in addition to assess disc, ligamentous, and neurological injury. The Thoracolumbar Injury Classification System is a new injury severity score created to help the decision-making process between conservative versus surgical treatment. When decision for surgery is made, early procedures are feasible, safe, can improve outcomes, and reduce healthcare costs. Surgical treatment is individualized based on the injury characteristics and surgeon's experience, as there is no evidence-based for the superiority of one technique over the other. CONCLUSIONS: The correct management of TLST involves multiple steps, such as a precise diagnosis, classification, and treatment. The TLICS can improve care and communication between spine surgeons, resulting in a more standardized treatment.
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spelling pubmed-38726582013-12-31 Thoracolumbar spine trauma: Evaluation and surgical decision-making Joaquim, Andrei F. Patel, Alpesh A. J Craniovertebr Junction Spine Review Article INTRODUCTION: Thoracolumbar spine trauma is the most common site of spinal cord injury, with clinical and epidemiological importance. MATERIALS AND METHODS: We performed a comprehensive literature review on the management and treatment of TLST. RESULTS: Currently, computed tomography is frequently used as the primary diagnostic test in TLST, with magnetic resonance imaging used in addition to assess disc, ligamentous, and neurological injury. The Thoracolumbar Injury Classification System is a new injury severity score created to help the decision-making process between conservative versus surgical treatment. When decision for surgery is made, early procedures are feasible, safe, can improve outcomes, and reduce healthcare costs. Surgical treatment is individualized based on the injury characteristics and surgeon's experience, as there is no evidence-based for the superiority of one technique over the other. CONCLUSIONS: The correct management of TLST involves multiple steps, such as a precise diagnosis, classification, and treatment. The TLICS can improve care and communication between spine surgeons, resulting in a more standardized treatment. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3872658/ /pubmed/24381449 http://dx.doi.org/10.4103/0974-8237.121616 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Joaquim, Andrei F.
Patel, Alpesh A.
Thoracolumbar spine trauma: Evaluation and surgical decision-making
title Thoracolumbar spine trauma: Evaluation and surgical decision-making
title_full Thoracolumbar spine trauma: Evaluation and surgical decision-making
title_fullStr Thoracolumbar spine trauma: Evaluation and surgical decision-making
title_full_unstemmed Thoracolumbar spine trauma: Evaluation and surgical decision-making
title_short Thoracolumbar spine trauma: Evaluation and surgical decision-making
title_sort thoracolumbar spine trauma: evaluation and surgical decision-making
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872658/
https://www.ncbi.nlm.nih.gov/pubmed/24381449
http://dx.doi.org/10.4103/0974-8237.121616
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