Thracia and Lumbar Fracture: Classification According to Three Column Theory and its Relationship to Paralysis
10.4055/jkoa.1987.22.3.717
- Author:
K. H. KIM
;
J. L. CHO
;
T. S. KIM
;
K. H. CHOI
- Publication Type:Original Article
- Keywords:
Spine;
Fracture;
3 column;
classification;
Treatment
- MeSH:
Classification;
Fractures, Compression;
Humans;
Paralysis;
Rehabilitation;
Seat Belts;
Spinal Injuries;
Spine
- From:The Journal of the Korean Orthopaedic Association
1987;22(3):717-728
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We reviewed 217 patients (270 cases) of thoracic and lumbar fractures and fracture-dislocations, who were treated at Hanyang University Hospital from January, 1977 to December, 1985. We classified spinal injuries according to three column theory and then analyzed the cause of injury, sex-age distribution, treatment and neurological injuries. The results were as follows: 1. The cases were classified into 4 different categories according to the three column theory; compression fractures (191 cases, 70.7%), burst fractures (54 cases, 20.0%), fracture-dislocations(22 cases, 8.2%), and seat belt type injuries (3 cases, 1.1%). And each of these 4 different categories was then subdivided into subtypes. 2. The most common cause of injury was fall from a height (45.2 %). 3. The neurological injuries were occurred in 21 patients (9.7%). The 16 patients with neural deficit in fracture-dislocation, 15 patients were flexion rotation type. The 5 patients with neural deficit in burst fracture, all were incomplete neural deficits. 4. The greatest advantage of Luque instrumentation was an early rehabilitation without external surport.
