Clifton William, Rahmathulla Gazanfar
Neurosurgery, Mayo Clinic, Jacksonville, USA.
Neurosurgery, University of Florida College of Medicine, Jacksonville, USA.
Cureus. 2019 Feb 28;11(2):e4151. doi: 10.7759/cureus.4151.
There are many proposed classification systems for traumatic thoracolumbar fractures (TLF). More recently published are the AO Spine Classification System and the Thoraco-Lumbar Injury Classification System (TLICS). There has been a paucity of high-level evidence to link these classification system subtypes with clinical outcomes and/or management strategies. Previously, post-traumatic burst fractures or two column injuries identified on computed tomography (CT) scan have been deemed stable injuries. The addition of magnetic resonance imaging (MRI) evaluation for concomitant ligamentous injuries in cases of incomplete burst fractures has been widely debated without high-level evidence. In this report, we present a case of an incomplete burst fracture at L1, AO-A3, which did not receive an MRI and presented with delayed paraplegia four weeks later.
对于创伤性胸腰椎骨折（TLF），有许多提出的分类系统。最近发表的是AO脊柱分类系统和胸腰椎损伤分类系统（TLICS）。将这些分类系统亚型与临床结果和/或管理策略联系起来的高级证据很少。以前，计算机断层扫描（CT）扫描发现的创伤后爆裂骨折或两柱损伤被认为是稳定损伤。对于不完全爆裂骨折病例中合并韧带损伤的磁共振成像（MRI）评估的添加，在没有高级证据的情况下一直存在广泛争议。在本报告中，我们介绍了一例L1处的不完全爆裂骨折，AO - A3型，未接受MRI检查，四周后出现迟发性截瘫。
