Traumatic thoracolumbar spinal injury: An algorithm for minimally invasive surgical management

Sanjay S. Dhall, Rishi Wadhwa, Michael Y. Wang, Alexandra Tien-Smith, Praveen V. Mummaneni

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Object: Minimally invasive spinal (MIS) surgery techniques have been used sporadically in thoracolumbar junction trauma cases in the past 5 years. A review of the literature on the treatment of thoracolumbar trauma treated with MIS surgery revealed no unifying algorithm to assist with treatment planning. Therefore, the authors formulated a treatment algorithm. Methods: The authors reviewed the current literature on MIS treatment of thoracolumbar trauma. Based on the literature review, they then created an algorithm for the treatment of thoracolumbar trauma utilizing MIS techniques. This MIS trauma treatment algorithm incorporates concepts form the Thoracolumbar Injury Classification System (TLICS). Results: The authors provide representative cases of patients with thoracolumbar trauma who underwent MIS surgery utilizing the MIS trauma treatment algorithm. The cases involve the use of mini-open lateral approaches and/ or minimally invasive posterior decompression with or without fusion. Conclusions: Cases involving thoracolumbar trauma can safely be treated with MIS surgery in select cases of burst fractures. The role of percutaneous nonfusion techniques remains very limited (primarily to treat thoracolumbar trauma in patients with a propensity for autofusion [for example, those with ankylosing spondylitis]).

Original languageEnglish
Article numberE9
JournalNeurosurgical Focus
Volume37
Issue number1
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Fingerprint

Spinal Injuries
Wounds and Injuries
Minimally Invasive Surgical Procedures
Therapeutics
Patient Advocacy
Ankylosing Spondylitis
Decompression

Keywords

  • Minimally invasive
  • Spinal cord injury
  • Spinal fracture
  • Spinal trauma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Cite this

Traumatic thoracolumbar spinal injury : An algorithm for minimally invasive surgical management. / Dhall, Sanjay S.; Wadhwa, Rishi; Wang, Michael Y.; Tien-Smith, Alexandra; Mummaneni, Praveen V.

In: Neurosurgical Focus, Vol. 37, No. 1, E9, 01.01.2014.

Research output: Contribution to journalArticle

Dhall, Sanjay S. ; Wadhwa, Rishi ; Wang, Michael Y. ; Tien-Smith, Alexandra ; Mummaneni, Praveen V. / Traumatic thoracolumbar spinal injury : An algorithm for minimally invasive surgical management. In: Neurosurgical Focus. 2014 ; Vol. 37, No. 1.
@article{be0db62eb923453096c78ceacd0074ad,
title = "Traumatic thoracolumbar spinal injury: An algorithm for minimally invasive surgical management",
abstract = "Object: Minimally invasive spinal (MIS) surgery techniques have been used sporadically in thoracolumbar junction trauma cases in the past 5 years. A review of the literature on the treatment of thoracolumbar trauma treated with MIS surgery revealed no unifying algorithm to assist with treatment planning. Therefore, the authors formulated a treatment algorithm. Methods: The authors reviewed the current literature on MIS treatment of thoracolumbar trauma. Based on the literature review, they then created an algorithm for the treatment of thoracolumbar trauma utilizing MIS techniques. This MIS trauma treatment algorithm incorporates concepts form the Thoracolumbar Injury Classification System (TLICS). Results: The authors provide representative cases of patients with thoracolumbar trauma who underwent MIS surgery utilizing the MIS trauma treatment algorithm. The cases involve the use of mini-open lateral approaches and/ or minimally invasive posterior decompression with or without fusion. Conclusions: Cases involving thoracolumbar trauma can safely be treated with MIS surgery in select cases of burst fractures. The role of percutaneous nonfusion techniques remains very limited (primarily to treat thoracolumbar trauma in patients with a propensity for autofusion [for example, those with ankylosing spondylitis]).",
keywords = "Minimally invasive, Spinal cord injury, Spinal fracture, Spinal trauma",
author = "Dhall, {Sanjay S.} and Rishi Wadhwa and Wang, {Michael Y.} and Alexandra Tien-Smith and Mummaneni, {Praveen V.}",
year = "2014",
month = "1",
day = "1",
doi = "10.3171/2014.5.FOCUS14108",
language = "English",
volume = "37",
journal = "Neurosurgical Focus",
issn = "1092-0684",
publisher = "American Association of Neurological Surgeons",
number = "1",

}

TY - JOUR

T1 - Traumatic thoracolumbar spinal injury

T2 - An algorithm for minimally invasive surgical management

AU - Dhall, Sanjay S.

AU - Wadhwa, Rishi

AU - Wang, Michael Y.

AU - Tien-Smith, Alexandra

AU - Mummaneni, Praveen V.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Object: Minimally invasive spinal (MIS) surgery techniques have been used sporadically in thoracolumbar junction trauma cases in the past 5 years. A review of the literature on the treatment of thoracolumbar trauma treated with MIS surgery revealed no unifying algorithm to assist with treatment planning. Therefore, the authors formulated a treatment algorithm. Methods: The authors reviewed the current literature on MIS treatment of thoracolumbar trauma. Based on the literature review, they then created an algorithm for the treatment of thoracolumbar trauma utilizing MIS techniques. This MIS trauma treatment algorithm incorporates concepts form the Thoracolumbar Injury Classification System (TLICS). Results: The authors provide representative cases of patients with thoracolumbar trauma who underwent MIS surgery utilizing the MIS trauma treatment algorithm. The cases involve the use of mini-open lateral approaches and/ or minimally invasive posterior decompression with or without fusion. Conclusions: Cases involving thoracolumbar trauma can safely be treated with MIS surgery in select cases of burst fractures. The role of percutaneous nonfusion techniques remains very limited (primarily to treat thoracolumbar trauma in patients with a propensity for autofusion [for example, those with ankylosing spondylitis]).

AB - Object: Minimally invasive spinal (MIS) surgery techniques have been used sporadically in thoracolumbar junction trauma cases in the past 5 years. A review of the literature on the treatment of thoracolumbar trauma treated with MIS surgery revealed no unifying algorithm to assist with treatment planning. Therefore, the authors formulated a treatment algorithm. Methods: The authors reviewed the current literature on MIS treatment of thoracolumbar trauma. Based on the literature review, they then created an algorithm for the treatment of thoracolumbar trauma utilizing MIS techniques. This MIS trauma treatment algorithm incorporates concepts form the Thoracolumbar Injury Classification System (TLICS). Results: The authors provide representative cases of patients with thoracolumbar trauma who underwent MIS surgery utilizing the MIS trauma treatment algorithm. The cases involve the use of mini-open lateral approaches and/ or minimally invasive posterior decompression with or without fusion. Conclusions: Cases involving thoracolumbar trauma can safely be treated with MIS surgery in select cases of burst fractures. The role of percutaneous nonfusion techniques remains very limited (primarily to treat thoracolumbar trauma in patients with a propensity for autofusion [for example, those with ankylosing spondylitis]).

KW - Minimally invasive

KW - Spinal cord injury

KW - Spinal fracture

KW - Spinal trauma

UR - http://www.scopus.com/inward/record.url?scp=84904859037&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904859037&partnerID=8YFLogxK

U2 - 10.3171/2014.5.FOCUS14108

DO - 10.3171/2014.5.FOCUS14108

M3 - Article

AN - SCOPUS:84904859037

VL - 37

JO - Neurosurgical Focus

JF - Neurosurgical Focus

SN - 1092-0684

IS - 1

M1 - E9

ER -