Скачать или смотреть İON 354. lecture, Schnake: Current treatment for A3/A4 thoracolumbar fractures 12.06.23

Thoracolumbar fractures (T11-L3) correspond to 90% of spinal fractures, and about 2/3 of these fractures involve compression of the vertebral body without ligament injury or dislocation, classified as AOSpine type A. Compression fractures with comminution of the vertebral body and displacement of fragments towards the vertebral canal correspond to 20% of all fractures, being characterized by the involvement of the posterior wall and one (AOSpine type A3) or both (AOSpine type A4) vertebral plateaus. This involvement of the posterior wall leads to a retropulsion of the bone fragment in the vertebral canal, which may generate neurological deficit in about 15% of the cases.

Despite its high incidence, the ideal treatment for A3/A4 fractures without neurological deficit remains controversial, and the extensive report of this topic in the literature was not able to demonstrate the superiority of conservative or surgical treatment.

Professor Klaus John Schnake is giving "Current treatment for A3/A4 thoracolumbar fractures" conference, don't miss it!