Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA.
Department of Orthopedic Surgery, University Medical Center, University of Utrecht, Utrecht, Netherlands.
Clin Spine Surg. 2023 Mar 1;36(2):43-53. doi: 10.1097/BSD.0000000000001384. Epub 2022 Aug 29.
The Arbeitsgemeinschaft fur Osteosynthese fragen Spine Sacral Injury Classification hierarchically separates fractures based on their injury severity with A-type fractures representing less severe injuries and C-type fractures representing the most severe fracture types. C0 fractures represent moderately severe injuries and have historically been referred to as nondisplaced "U-type" fractures. Injury management of these fractures can be controversial. Therefore, the purpose of this narrative review is to first discuss the Arbeitsgemeinschaft fur Osteosynthese fragen Spine Sacral Injury Classification System and describe the different fracture types and classification modifiers, with particular emphasis on C0 fracture types. The narrative review will then focus on the epidemiology and etiology of C0 fractures with subsequent discussion focused on the clinical presentation for patients with these injuries. Next, we will describe the imaging findings associated with these injuries and discuss the injury management of these injuries with particular emphasis on operative management. Finally, we will outline the outcomes and complications that can be expected during the treatment of these injuries.
脊柱骨盆损伤 Arbeitsgemeinschaft fur Osteosynthese 分类系统按损伤严重程度对骨折进行分层，A型骨折代表较轻的损伤，C 型骨折代表最严重的骨折类型。C0 型骨折代表中等严重的损伤，在历史上被称为无移位的“U 型”骨折。这些骨折的治疗可能存在争议。因此，本叙述性综述的目的首先讨论脊柱骨盆损伤 Arbeitsgemeinschaft fur Osteosynthese 分类系统，并描述不同的骨折类型和分类修饰符，特别强调 C0 型骨折。然后，叙述性综述将重点讨论 C0 型骨折的流行病学和病因，随后的讨论将集中在这些损伤患者的临床表现上。接下来，我们将描述与这些损伤相关的影像学发现，并讨论这些损伤的治疗管理，特别强调手术治疗。最后，我们将概述在治疗这些损伤时可能出现的结果和并发症。
