Spinal Trauma
A 35-year-old construction worker falls from 4 meters and lands on his feet. He presents with severe back pain at the thoracolumbar junction. Neurological examination reveals incomplete motor deficit (ASIA C) in the lower limbs. CT shows an L1 burst fracture with 60% canal compromise, loss of 50% vertebral body height, and 25 degrees of kyphosis. Regarding thoracolumbar burst fractures:
Mark each as TRUE or FALSE
Burst fractures result from axial compression with flexion and involve failure of anterior AND middl...
The TLICS (Thoracolumbar Injury Classification and Severity Score) considers morphology, PLC integri...
Burst fractures only involve the anterior column; canal compromise directly correlates with neurolog...
Non-operative treatment with bracing (TLSO) may be appropriate for neurologically intact patients wi...
Surgical indications include neurological deficit (especially incomplete), posterior ligamentous com...
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Click T (True) or F (False) for each option