Thoracolumbar and lumbosacral trauma

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The evaluation and treatment of thoracolumbar and lumbosacral fractures have evolved over the past decade. Imaging standards in most trauma centers include the use of CT facilitated with MRI when necessary. Classification systems have been developed that afford both a common language for morphologic descriptions and treatment guidelines for management. Treatment guidelines are based on severity scores that take into account injury morphology and neurologic status. Most thoracolumbar and lumbosacral injuries can be managed nonsurgically; however, when surgical treatment is indicated, goals should include neurologic decompression when required, reduction, and spinal and/or pelvic stabilization. The timing of surgery is dependent on several variables, including patient comorbidities and polytrauma, but should be approached with urgency in the setting of an incomplete spinal cord injury.

Original languageEnglish (US)
Title of host publicationOrthopaedic Knowledge Update
Subtitle of host publicationSpine 5
PublisherWolters Kluwer Health
Pages419-432
Number of pages14
ISBN (Electronic)9781975118419
ISBN (Print)9781975117320
StatePublished - Jan 1 2018

Fingerprint

Wounds and Injuries
Nervous System
Guidelines
Multiple Trauma
Trauma Centers
Therapeutics
Decompression
Spinal Cord Injuries
Comorbidity
Language

Keywords

  • Lumbopelvic disassociation
  • Lumbosacral trauma
  • Sacral fracture
  • Thoracolumbar trauma

ASJC Scopus subject areas

  • Medicine(all)

Cite this

DeVine, J. G., Agochukwu, U. F., & Jackson, K. L. (2018). Thoracolumbar and lumbosacral trauma. In Orthopaedic Knowledge Update: Spine 5 (pp. 419-432). Wolters Kluwer Health.

Thoracolumbar and lumbosacral trauma. / DeVine, John Glenden; Agochukwu, Uzondu F; Jackson, Keith L.

Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health, 2018. p. 419-432.

Research output: Chapter in Book/Report/Conference proceedingChapter

DeVine, JG, Agochukwu, UF & Jackson, KL 2018, Thoracolumbar and lumbosacral trauma. in Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health, pp. 419-432.
DeVine JG, Agochukwu UF, Jackson KL. Thoracolumbar and lumbosacral trauma. In Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health. 2018. p. 419-432
DeVine, John Glenden ; Agochukwu, Uzondu F ; Jackson, Keith L. / Thoracolumbar and lumbosacral trauma. Orthopaedic Knowledge Update: Spine 5. Wolters Kluwer Health, 2018. pp. 419-432
@inbook{b3a87edcaf974159966cd3265ef69630,
title = "Thoracolumbar and lumbosacral trauma",
abstract = "The evaluation and treatment of thoracolumbar and lumbosacral fractures have evolved over the past decade. Imaging standards in most trauma centers include the use of CT facilitated with MRI when necessary. Classification systems have been developed that afford both a common language for morphologic descriptions and treatment guidelines for management. Treatment guidelines are based on severity scores that take into account injury morphology and neurologic status. Most thoracolumbar and lumbosacral injuries can be managed nonsurgically; however, when surgical treatment is indicated, goals should include neurologic decompression when required, reduction, and spinal and/or pelvic stabilization. The timing of surgery is dependent on several variables, including patient comorbidities and polytrauma, but should be approached with urgency in the setting of an incomplete spinal cord injury.",
keywords = "Lumbopelvic disassociation, Lumbosacral trauma, Sacral fracture, Thoracolumbar trauma",
author = "DeVine, {John Glenden} and Agochukwu, {Uzondu F} and Jackson, {Keith L.}",
year = "2018",
month = "1",
day = "1",
language = "English (US)",
isbn = "9781975117320",
pages = "419--432",
booktitle = "Orthopaedic Knowledge Update",
publisher = "Wolters Kluwer Health",
address = "Spain",

}

TY - CHAP

T1 - Thoracolumbar and lumbosacral trauma

AU - DeVine, John Glenden

AU - Agochukwu, Uzondu F

AU - Jackson, Keith L.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - The evaluation and treatment of thoracolumbar and lumbosacral fractures have evolved over the past decade. Imaging standards in most trauma centers include the use of CT facilitated with MRI when necessary. Classification systems have been developed that afford both a common language for morphologic descriptions and treatment guidelines for management. Treatment guidelines are based on severity scores that take into account injury morphology and neurologic status. Most thoracolumbar and lumbosacral injuries can be managed nonsurgically; however, when surgical treatment is indicated, goals should include neurologic decompression when required, reduction, and spinal and/or pelvic stabilization. The timing of surgery is dependent on several variables, including patient comorbidities and polytrauma, but should be approached with urgency in the setting of an incomplete spinal cord injury.

AB - The evaluation and treatment of thoracolumbar and lumbosacral fractures have evolved over the past decade. Imaging standards in most trauma centers include the use of CT facilitated with MRI when necessary. Classification systems have been developed that afford both a common language for morphologic descriptions and treatment guidelines for management. Treatment guidelines are based on severity scores that take into account injury morphology and neurologic status. Most thoracolumbar and lumbosacral injuries can be managed nonsurgically; however, when surgical treatment is indicated, goals should include neurologic decompression when required, reduction, and spinal and/or pelvic stabilization. The timing of surgery is dependent on several variables, including patient comorbidities and polytrauma, but should be approached with urgency in the setting of an incomplete spinal cord injury.

KW - Lumbopelvic disassociation

KW - Lumbosacral trauma

KW - Sacral fracture

KW - Thoracolumbar trauma

UR - http://www.scopus.com/inward/record.url?scp=85059120977&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059120977&partnerID=8YFLogxK

M3 - Chapter

AN - SCOPUS:85059120977

SN - 9781975117320

SP - 419

EP - 432

BT - Orthopaedic Knowledge Update

PB - Wolters Kluwer Health

ER -