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See: hiatus, rend, rift, split
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This anatomical region represents the most common site for burst fractures in the adult population (1-2).
Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit: a prospective randomized study with follow-up at 16-22 years.
The key imaging features and aetiologies for pathological burst fractures are listed in Table 1.
Previous studies showed loss of the initial reduction in patients who underwent posterior instrumentation only with temporary instrumentation and subsequent implant removal [49-51], particularly in patients with an injured disc adjacent to the burst fracture. Accordingly, postoperative measures of reduction and deformity were not included in the current study, focusing on sagittal spinal and spinopelvic measures at follow-up in a sample of fracture patients treated surgically and on the impact residual deformity had on the clinical outcomes at mid- to long-term follow-up.
Clinical evaluation of a group of patients with Denis type B thoracolumbar burst fracture with neurological deficiencies treated with paraspinal-approach reduction and fixation.
[6.] Craig E Tschirhart, Amit Nagpurkar, "Effects of tumor location, shape and surface serration on burst fracture risk in the metastatic spine", Journal of Biomechanics 37,653-660 (2004).
Conclusion: The anterior approach or combined anterior and posterior approach were better options in managing unstable thoracolumbar burst fracture while the latter should be used only for the burst fracture with a significant posterior column injury.
The details of RRBF were described in this study, and the long-term results of thoracolumbar burst fracture treated with SSPF combined RRBF were also showed.
The von-Mises stress, which was assumed to predict the risk of a burst fracture, was also determined for the three age groups.
Four patients suffered an accompanying fracture of another cervical spine vertebra (one type A with Anderson type I dens fracture and a dislocated fracture of C5 spinous process, another type A with incomplete C7 burst fracture, one type A with C7 spinous process fracture, and one type C with Anderson type III dens fracture).