MEDICAL MANAGEMENT

Jul 8th, 2015
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The complex shape of the vertebrae, along with the interaction of central nervous system, the relatively specialized structures of theintervertebral disks and the associated vertebral ligaments has made the description and classification of spinal fractures an ongoing pursuit for the medical community.

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MEDICAL MANAGEMENTDefinition/DescriptionThe complex shape of the vertebrae, along with the interaction of central nervous system, the relatively specialized structures of theintervertebral disksand the associated vertebral ligaments has made the description and classification of spinal fractures an ongoing pursuit for the medical community. The current system had its roots in 1963 after Holdsworth proposed classifying spinal fractures by the mechanism of injury (MOI) of compression, flexion, extension, and flexion-rotation. He divided the injuries involvement of the anterior weight bearing column and the posterior tension bearing column of facet joints and ligament complex[1].The 1983 Denis system revision led to a center column comprised of the posterior vertebral body, posterior vertebral disk and posterior;ongitudinal ligament[2].In the Denis system it was believed that trauma focused into the middle column was sufficient to cause instability in the spine. The instability was further categorized into three types:First degree: considered mechanicalSecond degree: neurologicalThird degree: combined mechanical/neurologicalThis system is still currently the favored method. The main frustration from the Denis method is that the inclusion of the middle column introduced a virtual landmark that isnt really suitable for determining an injury type. A recently developed system by Aebi incorporates the two column method, combined with the method of

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