2018 AANS Annual Scientific Meeting-Thoracolumbar Burst Fracture Without Neuro Deficit: Open Fixation is Superior

Thoracolumbar Burst Fracture Without Neuro Deficit: Open Fixation is Superior

Video Transcription

Video Summary

In this video, Sanjay Dahl from UCSF discusses the classification and treatment of spine trauma. He disagrees with the AO classification system and proposes using the Telex system which takes into account fracture pattern, ligament status, and neurologic status. He mentions the popularity of minimally invasive surgery and percutaneous screw fixation, but highlights the limited evidence and small sample sizes in studies supporting these techniques. He also mentions alternative minimally invasive options such as mini-open corpectomies. He concludes by emphasizing the importance of achieving fusion and stabilization in thoracolumbar injuries and questioning the role of percutaneous non-fusion techniques.

Asset Caption

Sanjay Dhall, MD, FAANS

Keywords

spine trauma

Telex system

minimally invasive surgery

fusion

thoracolumbar injuries