脊柱骨折分型
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B. Distraction injuries of the anterior and posterior elements (tensile forces)
(5_-B)
BONE: SPINE (5)Location: Cervical (51)Types:
A. Compression injuries of the body (compressive forces)(5_-A)
S
PINE
Location: Thoracic (52)
Location: Lumbar (53)
C. Multidirectional injuries with translation affecting the anterior and posterior ele-ments (axial torque causing rotation injuries)
(5_-C)
BONE: SPINE (5)
Groups:
Vertebral body compression type (5_-A)
1. Impaction fractures(5_-A1)
2. Split fractures(5_-A2)
3. Burst fractures(5_-A3) Subgroups and Qualifications:
Vertebral body compression fractures, impaction
injury (5_-A1)
1. End plate impaction(5_-A1.1)
2. Wedge impaction(5_-A1.2)
3. Vertebral body collapse(5_-A1.3)
Vertebral body compression fractures, split (5_-A2)
1. Sagittal(5_-A
2.1)
2. Coronal(5_-A2.2)
3.Pincer(5_-A2.3)
Vertebral body compression burst fractures (5_-A3)
1. Incomplete burst(5_-A3.1)
2. Burst-split(5_-A
3.2)
3. Complete burst
(5_-A3.3)
Types:
A. Compression injuries of the body
(compressive forces)
(5_-A)
B. Distraction injuries of the anterior and posterior elements (tensile forces)(5_-B)
2. Posterior disruption pre-dominantly osseous (flexion-distraction injury)(5_-B2)Groups:
Anterior or posterior element injury with distraction (5_-B)1. Posterior disruption predominantly
ligamentous (flexion-distraction injury)(5_-Bl)
3. Anterior disruption
through the disc (hyperex-tension-shear injury)
(5_-B3)
BONE: SPINE (5)
Subgroups and Qualifications:
Posterior disruption ligamentous (5_-B1)
1. With transverse disruption of the disc (5_-B1.1)
2. Vertebral body compression fracture (5_-B1.2)
Posterior disruption osseous (5_-B2)
1. Transverse bicolumn fracture (5_-B
2.1)2. With transverse disruption of the disc (5_-B2.2)
3. With vertebral body compression (5_-B2.3)
Anterior disruption through the disc (5_-B3)1. Hyperextension-subluxation (5_-B3.1)2. Hyperextension-spondylolysis (5_-B3.2)3. Posterior dislocation
(5_-B3.3)
BONE: SPINE (5) C. Multidirectional injuries
with translation affecting the
anterior and posterior ele-
ments (axial torque causing
rotation injuries)(5_-C)
2. Flexion subluxation with
rotation(5_-C2)
Groups:
Anterior or posterior element injury with rotation (5_-C)
1. Rotational wedge, split,
and burst fractures(5_-C1)
3. Rotational shear injuries
(Holdsworth slice rotation
fracture)(5_-C3)
Subgroups and Qualifications:
Rotational wedge, split and burst fractures (5_-C1)
1. Rotational wedge fractures(5_-C1.1)
2. Rotational split fractures(5_-C1.2)
3. Rotational burst fractures(5_-C1.3)
Flexion subluxation with rotation (5_-C2)
1. Flexion-distraction injuries with rotation
(5_-C2.1)
2.B2 with rotation(5_-C2.2)
3. Hyperextension-shear-rotation of spine
(5_-C2.3)
Rotational shear injuries (5_-C3)
1. Slice(5_-C3.1)
2. Oblique
(5_-C3.2)