medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2023, Number 4

<< Back Next >>

Acta Ortop Mex 2023; 37 (4)

Classification of continuous multilevel vertebral fractures

Tafoya-Arellano D, Floriano-Balderrama E, Ladewig-Bernaldez G, Gómez-Flores G, Oropeza-Oropeza E, Ambrosio-Vicente M, Collado-Arce M, Dufoo-Olvera M

Language: Spanish
References: 22
Page: 207-211
PDF size: 193.92 Kb.


ABSTRACT

Currently there is still little information about multilevel vertebral fractures (MVF), in addition to the fact that there are no classifications that help us group them in a simpler way, and guide us on their prognosis. The objective of this work is to propose a new classification of continuous type MVF, based on the number of end plates injured of the vertebral bodies and their severity, where we form four groups. A review of continuous MVF cases that we found in our hospital over a 6-year period was carried out, managing to designate 100% of the fractures, by their characteristics, to the corresponding group. In addition, we observed a better neurological prognosis in group 1. This classification is a proposal that will help us to group these injuries, that can be very varied, in only four groups; with the aim of later creating a more standardized management proposal, and knowing its neurological prognosis.


REFERENCES

  1. Kano S, Tanikawa H, Mogami Y, Shibata S, Takanashi S, Oji Y, et al. Comparison between continuous and discontinuous multiple vertebral compression fractures. Eur Spine J. 2012; 21(9): 1867-72.

  2. Korres DS, Katsaros A, Pantazopoulos T, Hartofilakidis-Garofalidis G. Double or multiple level fractures of the spine. Injury. 1981; 13(2): 147-52.

  3. Iencean SM. Double noncontiguous cervical spinal injuries. Acta Neurochir (Wien). 2002; 144(7): 695-701.

  4. Secer M, Alagoz F, Uckun O, Karakoyun OD, Ulutas MO, Polat O, et al. Multilevel noncontiguous spinal fractures: surgical approach towards clinical characteristics. Asian Spine J. 2015; 9(6): 889-94.

  5. Blauth M, Knop C, Bastian L, Krettek C, Lange U. Complex injuries of the spine. Orthopade. 1998; 27(1): 17-31.

  6. Cho Y, Kim YG. Clinical features and treatment outcomes of acute multiple thoracic and lumbar spinal fractures: a comparison of continuous and noncontinuous fractures. J Korean Neurosurg Soc. 2019; 62(6): 700-11.

  7. Collado-Arce MGL, García-López OF, Dufoo-Olvera M, López-Palacios JJ, Gómez-Flores G, Ladewig-Bernaldez GI, et al. Fracturas vertebrales múltiples en la clínica de columna "Dr. Manuel Dufoo". Columa/Columna. 2018; 17(2): 143-6.

  8. Miller CP, Brubacher JW, Biswas D, Lawrence BD, Whang PG, Grauer JN. The incidence of noncontiguous spinal fractures and other traumatic injuries associated with cervical spine fractures: a 10-year experience at an academic medical center. Spine (Phila Pa 1976). 2011; 36(19): 1532-40.

  9. Toluse AM. Multilevel noncontiguous cervical spine injury. J Clin Sci. 2017; 14(2): 91-93.

  10. Reilly FO, Gheiti AJ, Burke N, Timlin M. Concomitant cervical fractures without neurological symptoms: a case report. Ir J Med Sci. 2016; 185(4): 977-80.

  11. Hadden WA, Gillespie WJ. Multiple level injuries of the cervical spine. Injury. 1985; 16(9): 628-33.

  12. Letts M, Davidson D, Healey D. Simultaneous fracture of every cervical vertebra: a case study. Spine (Phila Pa 1976). 2002; 27(20): E446-50.

  13. Powell JN, Waddell JP, Tucker WS, Transfeldt EE. Multiple-level noncontiguous spinal fractures. J Trauma. 1989; 29(8): 1146-50; discussion 1150-1.

  14. Vaccaro AR, An HS, Lin S, Sun S, Balderston RA, Cotler JM. Noncontiguous injuries of the spine. J Spinal Disord. 1992; 5(3): 320-9.

  15. Dai LY, Jia LS. Multiple non-contiguous injuries of the spine. Injury. 1996; 27(8): 573-5.

  16. Korres DS, Boscainos PJ, Papagelopoulos PJ, Psycharis I, Goudelis G, Nikolopoulos K. Multiple level noncontiguous fractures of the spine. Clin Orthop Relat Res. 2003; (411): 95-102.

  17. Wang H, Xiang Q, Li C, Zhou Y. Multiple-level noncontiguous spinal fractures: difference between the young and the elderly. J Spinal Disord Tech. 2013; 26(7): E272-6.

  18. Tannoury TY, Zmurko MG, Tannoury CA, Anderson DG, Chan DP. Multiple unstable cervical fractures with cord compromise treated nonoperatively: a case report. Spine (Phila Pa 1976). 2004; 29(11): E234-8.

  19. Vargas-Mena R, Dufoo-Olvera M, García-López OF, López-Palacios JJ, Aburto-Trejo JA, Capiz-Ruiz ER. Fracturas múltiples de la columna cervical: Reporte de un caso. Acta Ortop Mex. 2014; 28(5): 315-8.

  20. Calenoff L, Chessare JW, Rogers LF, Toerge J, Rosen JS. Multiple level spinal injuries: importance of early recognition. AJR Am J Roentgenol. 1978; 130(4): 665-9.

  21. Shear P, Hugenholtz H, Richard MT, Russell NA, Peterson EW, Benoit BG, et al. Multiple noncontiguous fractures of the cervical spine. J Trauma. 1988; 28(5): 655-9.

  22. Kanna RM, Gaike CV, Mahesh A, Shetty AP, Rajasekaran S. Multilevel non-contiguous spinal injuries: incidence and patterns based on whole spine MRI. Eur Spine J. 2016; 25(4): 1163-9.



EVIDENCE LEVEL

IV




2020     |     www.medigraphic.com