Lindtner Richard A, Krappinger Dietmar, Lindahl Jan, Bellabarba Carlo
Department of Orthopaedics and Traumatology, Medical University of Innsbruck, Innsbruck, Innsbruck, Austria.
Harborview Medical Center, University of Washington School of Medicine, Seattle, Seattle, USA.
Arch Orthop Trauma Surg. 2024 Dec 12;145(1):37. doi: 10.1007/s00402-024-05604-y.
Traumatic lumbosacral instability (TLSI) generally refers to a traumatic disruption of the lumbopelvic junction. The ambiguous use of this term has contributed to confusion and limited understanding of injuries that can impact lumbosacral stability. As of now, TLSI lacks a clear definition, and the underlying injury patterns remain inadequately characterized. Therefore, the objectives of the first part of this two-part series are: (1) to establish a precise definition of TLSI, (2) to identify and systematically characterize the injury patterns underlying TLSI, and (3) to outline principles for diagnosing and classifying these underlying conditions.
创伤性腰骶部不稳定（TLSI）通常是指腰骶骨盆连接处的创伤性破坏。该术语的模糊使用导致了对可能影响腰骶部稳定性的损伤的混淆和理解有限。截至目前，TLSI缺乏明确的定义，其潜在的损伤模式仍未得到充分描述。因此，这个两部分系列的第一部分的目标是：（1）建立TLSI的精确定义，（2）识别并系统地描述TLSI潜在的损伤模式，以及（3）概述诊断和分类这些潜在病症的原则。
