ArticleGlobal spine journal2024
The AO Spine Thoracolumbar Injury Classification System and Treatment Algorithm in Decision Making for Thoracolumbar Burst Fractures Without Neurologic Deficit.
Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Practical Application of the AO Spine Primary Infection Classification System: Clarifying Definitions, Borderline Cases and Common Misinterpretations.Global spine journal · 2026Review
- Article
- The Integrated Nerve, Discoligamentous Complex, and Vertebra Scoring System for Thoracolumbar Junction (TLJ) Injury.Orthopaedic surgery · 2026Article
- Return to Work After Isolated Spinal Injury: Rates, Predictors, and Implications for Occupational Reintegration.Journal of occupational rehabilitation · 2026Article
- Treatment strategies for incomplete burst fractures (AO Spine A3) at the thoracolumbar junction -results of a nationwide German survey.Brain & spine · 2026Article
- Nomogram that can predict failure of conservative treatment for thoracolumbar burst fracture was established.European journal of medical research · 2025Article
- The AO Spine Knowledge Forums: A Decade of Impactful Spine Research.Global spine journal · 2025Article
- The Effectiveness and Practical Application of Different Reduction Techniques in Burst Fractures of the Thoracolumbar Spine.Journal of clinical medicine · 2025Article
- A Comparative Analysis of International Classification Systems to Predict the Risk of Collapse in Single-Level Osteoporotic Vertebral Fractures.Diagnostics (Basel, Switzerland) · 2024Article
- Summary and Future Strategies in Anticipation of the A3 A4 Fracture Study Results.Global spine journal · 2024Article
- The validity of posterior approach in thoracolumbar spine fracture surgery: A study of 104 cases with literature review.Journal of craniovertebral junction & spineArticle
- The effectiveness of posterior Schanz screw system in the anatomical restoration of thoracolumbar vertebral burst fractures: A 10-year single-institution experience.Journal of craniovertebral junction & spineArticle
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Authors and funding
24 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
designProspective Observational Study.
objectiveTo determine the alignment of the AO Spine Thoracolumbar Injury Classification system and treatment algorithm with contemporary surgical decision making.
methods183 cases of thoracolumbar burst fractures were reviewed by 22 AO Spine Knowledge Forum Trauma experts. These experienced clinicians classified the fracture morphology, integrity of the posterior ligamentous complex and degree of comminution. Management recommendations were collected.
resultsThere was a statistically significant stepwise increase in rates of operative management with escalating category of injury (
conclusionsThe AO Spine Thoracolumbar Injury Classification system introduces fracture morphology in a rational and hierarchical manner of escalating severity. Thoracolumbar A4 complete burst fractures were more likely to be operatively managed than A3 fractures. Flexion-distraction type B injuries and translational type C injuries were much more likely to have surgery recommended than type A fractures regardless of the M1 modifier. A suspected posterior ligamentous injury increased the likelihood of surgeons favoring surgical stabilization.
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