Mirza Sohail K, Mirza Amer J, Chapman Jens R, Anderson Paul A
Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.
J Am Acad Orthop Surg. 2002 Sep-Oct;10(5):364-77. doi: 10.5435/00124635-200209000-00008.
Classification systems are generalizations that attempt to identify common attributes within a group to predict behavior or outcome without sacrificing too much detail. Because of the inherent variability of fractures, classifying them can be difficult. To properly apply any of the commonly cited classification schemes for thoracic and lumbar fractures, one must not only know the injury categories described in the original studies but also be familiar with the rationale for developing the classification. Many original reports describing common thoracic and lumbar injury classifications lack a rigorous scientific foundation. They were based largely on the insights of experienced surgeons and researchers. Although the ideal classification for thoracic and lumbar fractures does not exist, it would incorporate neurologic as well as structural factors. Standardization of terminology as related to treatment decisions and prognosis is key to an improved understanding of the clinical behavior of these injuries and identification of optimal treatment options.
分类系统是一种概括，旨在识别一组内的共同属性，以预测行为或结果，同时又不会牺牲太多细节。由于骨折固有的变异性，对其进行分类可能很困难。要正确应用任何常见的胸腰椎骨折分类方案，不仅必须了解原始研究中描述的损伤类别，还必须熟悉制定该分类的基本原理。许多描述常见胸腰椎损伤分类的原始报告缺乏严格的科学基础。它们很大程度上基于经验丰富的外科医生和研究人员的见解。虽然不存在理想的胸腰椎骨折分类，但它应纳入神经学和结构因素。与治疗决策和预后相关的术语标准化是更好地理解这些损伤的临床行为和确定最佳治疗方案的关键。
