Thoracolumbar injuries: non operative treatment: indications, management

Eur J Trauma Emerg Surg. 2024 Oct;50(5):1951-1957. doi: 10.1007/s00068-024-02619-3. Epub 2024 Sep 27.

Abstract

Introduction: Thoracolumbar spine injuries can result from various traumatic events such as falls, motor vehicle accidents, and sports injuries. While surgical intervention is often indicated for complex fractures and in case of neurological deficits, non-operative treatment remains a viable option for certain types of injuries.

Aims: This manuscript aims to provide a comprehensive overview of the specific indications and treatment options of non-operative thoracolumbar spine injuries. It seeks to provide evidence-based recommendations for selecting patients suitable for conservative management based on fracture type and stability, absence of neurological deficits, spine deformity, integrity of the posterior ligament complex and patient specific factors.

Keywords: Conservative management; Fracture stability; Functional therapy; Morphological modifiers; Non-operative treatment; Thoracolumbar spine injuries.

Publication types

  • Review

MeSH terms

  • Conservative Treatment*
  • Humans
  • Lumbar Vertebrae* / injuries
  • Lumbar Vertebrae* / surgery
  • Spinal Fractures* / surgery
  • Spinal Fractures* / therapy
  • Spinal Injuries / surgery
  • Spinal Injuries / therapy
  • Thoracic Vertebrae* / injuries
  • Thoracic Vertebrae* / surgery