Executive Editor: Luiz Vialle General Editor: German Ochoa (in memoriam)

Authors: Alex Vaccaro, Frank Kandziora, Michael Fehlings, Rajasekaran Shanmughanathan

Thoracic and lumbar trauma - A1

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Glossary

General considerations

53-A1

Type A1 fractures involve one single endplate and are in general treated nonoperatively. Depending on the severity of the wedging and the local kyphosis, surgery may be indicated.

Nonoperative treatment/ bracing
Main indication Skill Equipment
Stable fractures (Type A) Basic surgical experience, no specialized skills Basic equipment only

Indication:

  • Stable fractures (Types A)

Contraindications:

  • Obese body habitus
  • Burns
  • Unstable fractures
  • Polyfractures
  • Multiple rib fractures, flail chest or pulmonary injury

Advantage:

  • Possible avoidance of surgical intervention

Disadvantages:

  • Inconvenience
  • Patient's compliance required
  • Skin break down
  • Potential for pulmonary compromise
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2014-12-99