[Classification of continuous multilevel vertebral fractures].

Acta ortopedica mexicana Pub Date : 2023-07-01
D Tafoya-Arellano, E Floriano-Balderrama, G Ladewig-Bernaldez, G Gómez-Flores, E Oropeza-Oropeza, M J Ambrosio-Vicente, M G L Collado-Arce, M Dufoo-Olvera
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Abstract

Currently there is still little information about multilevel vertebral fractures (MVF), in addition to the fact that there are no classifications that help us group them in a simpler way, and guide us on their prognosis. The objective of this work is to propose a new classification of continuous type MVF, based on the number of end plates injured of the vertebral bodies and their severity, where we form four groups. A review of continuous MVF cases that we found in our hospital over a 6-year period was carried out, managing to designate 100% of the fractures, by their characteristics, to the corresponding group. In addition, we observed a better neurological prognosis in group 1. This classification is a proposal that will help us to group these injuries, that can be very varied, in only four groups; with the aim of later creating a more standardized management proposal, and knowing its neurological prognosis.

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[连续多层次脊椎骨折的分类]。
目前,关于多层次椎体骨折(MVF)的信息仍然很少,此外,也没有任何分类方法可以帮助我们以更简单的方式对其进行分组,并指导我们对其预后进行评估。这项工作的目的是根据椎体损伤的终板数量及其严重程度,对连续型椎体骨折提出一种新的分类方法,我们将其分为四组。我们对本院 6 年来发现的连续型椎体后凸骨折病例进行了复查,根据其特征将 100%的骨折归入相应的组别。此外,我们还观察到第 1 组的神经系统预后较好。这种分类方法有助于我们将这些可能千差万别的损伤分为四组,以便日后制定更标准化的管理方案,并了解其神经系统预后。
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