Vollmer D G, Gegg C
Division of Neurosurgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, 78284-7843, USA.
Neurosurg Clin N Am. 1997 Oct;8(4):499-507.
Successful management of traumatic injuries of the thoracolumbar spine requires understanding of the concepts of spinal stability and instability. There are numerous classifications of injury patterns based on fracture type and the probable forces involved. This article focuses on Denis's three-column theory of spinal stability and its utility in categorizing five injury patterns and the forces involved: specifically, wedge compression fractures, burst fractures, flexion distraction injuries, fracture dislocations, and miscellaneous injuries. The authors also highlight the acute management and evaluation of patients suspected to have these types of injuries.
胸腰椎创伤的成功管理需要理解脊柱稳定性和不稳定性的概念。基于骨折类型和可能涉及的力，有许多损伤模式分类。本文重点介绍丹尼斯的脊柱稳定性三柱理论及其在对五种损伤模式和所涉及的力进行分类方面的应用：具体而言，楔形压缩骨折、爆裂骨折、屈曲牵张损伤、骨折脱位和其他损伤。作者还强调了对疑似患有这些类型损伤的患者的急性处理和评估。
