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Radiological prediction of posttraumatic kyphosis after thoracolumbar fracture


There is still no consensus on the treatment of traumatic thoracolumbar fractures, therefore more evidence is needed. As surgeons base treatment decisions on classification of the fractures, much attention has been given to classification schemes for fractures around the world. However, it is remarkable that none of the classification methods has paid attention to the kyphosis. This seems to be of importance, because post-traumatic kyphosis is related to post-traumatic pain. Therefore, we have considered to look at it from another perspective: is it possible to predict what fractures have a worse outcome?

Worse outcomes to the posttraumatic kyphosis in search of a correlation have been studied, which can be an objective measurement related to worse clinical outcome. We tried to determine risk factors such as fracture type and patient characteristics (AO classification, age, gender, and localization) that may lead to progressive kyphosis after a thoracolumbar spine injury. A radiological analysis was performed using X-rays of patients with traumatic spinal fractures. Cobb, Gardner, and the Vertebral compression angle, and Anterior Vertebral Body compression percentage have been measured.


To know more about the results: Read the full text article, recently published in the Open Orthopaedic Journals: Radiological Prediction of Posttraumatic Kyphosis After Thoracolumbar Fracture. Inez Curfs, Bernd Grimm, Matthijs van der Linde, Paul Willems, Wouter van Hemert. The Open Orthopaedics Journal, 2016, 10, 121-128

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1 Comment
  1. DJP says

    More Orthopedic and Neurosurgeons need to be more familiar with flat back and how to measure Cobb angles and sagittal balance correctly. I was fused in the flat position and have to be completely revised.

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