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Classification of Thoracolumbar Fractures: A Narrative Review

Journal of Clinical Orthopaedics | Vol 7 | Issue 1 |  Jan-Jun 2022 | page: 77-84 | Harvinder Singh Chhabra, Jitesh Manghwani

DOI:10.13107/jcorth.2022.v07i01.479


Author: Harvinder Singh Chhabra [1], Jitesh Manghwani [1]

[1] Department of Spine Services, Indian Spinal Injuries Centre, New Delhi, India

 

Address of Correspondence
Dr. Harvinder Singh Chhabra,
Medical Director and Chief of Spine service, Department of Spine Services, Indian Spinal Injuries Centre, New Delhi, India.
E-mail: drhschhabra@isiconline.org


Abstract

Thoracolumbar fractures constitute 75% of the cases of spine trauma. Thoracolumbar classification systems are important to diagnose, stage, determine the management of vertebral lesions, and predict the results of the different treatment options. This narrative review describes how the classification systems evolved over time with the unique features of each historically. Radiographs are the initial step of investigation. Magnetic resonance imaging and computed tomography help in delineating the injury better. This article narrates diagnosing instability and the role of each classification system in aiding to make a decision of a particular thoracolumbar fracture with merits and demerits of each.

Keywords: Thoracolumbar, classification, review, AOSpine, TLICS, SCS


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How to Cite this article: Chhabra HS, Manghwani J. Classification of Thoracolumbar Fractures: A Narrative Review. Journal of Clinical Orthopaedics Jan-Jun 2022;7(1):77-84.

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Peri prosthetic fractures after total knee arthroplasty

Journal of Clinical Orthopaedics | Vol 5 | Issue 1 |  Jan-Jun 2020   | page: 36-40 | Shubhranshu S. Mohanty, Swapnil A. Keny, Ashwin Sathe


Author: Shubhranshu S. Mohanty [1], Swapnil A. Keny [1], Ashwin Sathe [1]

[1] Department of Orthopaedics, Seth GS Medical College & King Edward Memorial Hospital, Mumbai.

Address of Correspondence
Dr. Shubhranshu S. Mohanty,
Department of Orthopaedics, Seth GS Medical College & King Edward Memorial Hospital, Mumbai.
E-mail: drssmohanty@hotmail.com


Abstract

Background: The risk of periprosthetic fracture following TKA is particularly high because most of the TKA patients are elderly and also have osteoporosis. The management remains challenging as a result of poor bone stock, pre-existing implant and bone cement that may impede fracture reduction and fixation, predisposing to non-union or malunion . This article is a comprehensive review of Periprosthetic fractures following total knee replacement surgery along with their management algorithms.
Keywords: Total knee arthroplasty, Preprosthetic fracture, Review.


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How to Cite this article: Mohanty SS, Keny SA, Sathe A| Peri prosthetic fractures after total knee arthroplasty | Journal of Clinical Orthopaedics | January-June 2020; 5(1):36-40.

(Abstract    Full Text HTML)   (Download PDF)