Management of fractures of the thoracolumbar spine: a narrative review

The thoracolumbar region affects 60 to 80% of the 4 million spine fractures occurring annually, making them a global health threat. Management has evolved from early fixation systems to minimally invasive techniques, reducing muscle trauma and recovery time. Fractures are classified into compression...

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Main Authors: Vetter, Sven Y. (Author) , Badke, Andreas (Author) , Buchmann, Sandra (Author) , Hauck, Stefan (Author) , Heumann, Peter (Author) , Kandziora, Frank (Author) , Kobbe, Philipp (Author) , Krüger, Sebastian (Author) , Kruppa, Christiane Gertrud (Author) , Ullrich, Bernhard Wilhelm (Author) , Schleicher, Philipp (Author)
Format: Article (Journal)
Language:English
Published: 2026
In: Journal of Clinical Medicine
Year: 2026, Volume: 15, Issue: 3, Pages: 1-10
ISSN:2077-0383
DOI:10.3390/jcm15031008
Online Access:Resolving-System, kostenfrei: https://doi.org/10.3390/jcm15031008
Resolving-System, kostenfrei: https://doi.org/10.25673/122698
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Author Notes:Sven Y. Vetter, Andreas Badke, Sandra Buchmann, Stefan Hauck, Peter Heumann, Frank Kandziora, Philipp Kobbe, Sebastian Krüger, Christiane Kruppa, Bernhard W. Ullrich, and Philipp Schleicher
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Summary:The thoracolumbar region affects 60 to 80% of the 4 million spine fractures occurring annually, making them a global health threat. Management has evolved from early fixation systems to minimally invasive techniques, reducing muscle trauma and recovery time. Fractures are classified into compression, distraction, and translation types, with stability guiding treatment decisions. Surgical options include open and minimally invasive procedures, each with benefits and drawbacks. The choice of treatment depends on fracture type, neurological deficits, and patient factors. Advances in technology continue to improve outcomes, but further research is needed to determine optimal management strategies.
Physical Description:Online Resource
ISSN:2077-0383
DOI:10.3390/jcm15031008