Biomechanics of thoracolumbar burst fractures: methods of induction and treatments Journal Article


Authors: Fakurnejad, S.; Scheer, J. K.; Patwardhan, A. G.; Havey, R. M.; Voronov, L. I.; Smith, Z. A.
Article Title: Biomechanics of thoracolumbar burst fractures: methods of induction and treatments
Abstract: Much controversy exists regarding the mechanism of burst fracture (BF) induction and the proper techniques to treat such fractures. As such, there is a great need for validated preclinical models in which to study these injuries. In this study, an electronic search of the PubMed database (MEDLINE) was performed and the results were filtered to obtain only studies with a biomechanical focus. Forty five biomechanical studies were obtained, from which four distinct methods of injury induction were identified. Twenty one (46.7%) involved clinically relevant techniques for treating BF, involving anterior, posterior, circumferential, or a combination of approaches. Fifteen (71.4%) of the treatment studies used unstable spine specimens that do not fit the classical characteristics of BF. Given the consistent use of BF models that do not adhere to classical definitions, the clinical value of ex vivo induction is uncertain.
Journal Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
Volume: 21
Issue: 12
ISSN: 1532-2653; 0967-5868
Publisher: Elsevier Inc  
Journal Place: Scotland
Date Published: 2014
Start Page: 2059
End Page: 2064
Language: eng
DOI/URL:
Notes: CI: Copyright (c) 2014; JID: 9433352; OTO: NOTNLM; 2014/04/23 [received]; 2014/05/04 [accepted]; 2014/06/25 [aheadofprint]; ppublish