Thoracic Spine Burst Fractures



- See:
      - Burst Fractures
      - Thoracic and Thoracolumbar Spine:

- Discussion:
    - results from hyperflexion, which produces wedge compression of one or more vertebral bodies;
    - due to the rigidity of the rib cage, most of these frxs are stable;
    - thoracic spinal canal is narrow in relation to the spinal cord, so that thoracic spinal cord injuries commonly are complete;

- Radiographs and Classification

- Treatment:
    - w/ kyphosis > 30 deg, internal stabilization is required to prevent further deformity;
    - dural laceration w/ impaled nerve roots can be anticipated at time of surgery if a patient with neurologic damage has a burst frx of 
           vertebral body combined with a laminar fracture at the same level



The results of treatment of acute injuries of the upper thoracic spine with paralysis.

Early rod-sleeve stabilization of the injured thoracic and lumbar spine.

Anterior fixation for burst fractures of the thoracic and lumbar spine with or without neurological involvement.

The management of burst fractures of the thoracic and lumbar spine. Experience in 53 patients.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Tuesday, December 27, 2011 4:15 pm