Management of burst fractures in the thoracolumbar spine

J Orthop. 2016 Jun 28;13(4):278-81. doi: 10.1016/j.jor.2016.06.007. eCollection 2016 Dec.

Abstract

The most common fractures in the spine take place in the thoracolumbar region. Currently there is no consensus regarding optimum treatment.

Objective: Analyze the current medical literature available regarding treatment of compression fractures of the thoracolumbar spine.

Methods: Research of current literature in medical databases.

Results: Regarding current available literature, we found no consensus in the treatment of compression fractures in the thoracolumbar spine.

Conclusions: Burst fractures of the thoracolumbar junction is a very common condition, treatment of each patient must be individualized. Conservative treatment is recommended for stable fractures without neurological compromise and less than 35° of kyphosis.

Keywords: Burst fracture; Compression fracture; Conservative treatment; Neurological deficit; Surgical treatment; Thoracolumbar spine.

Publication types

  • Review