Translation-rotation spine injury
Citation, DOI, disclosures and article data
At the time the article was created Dalia Ibrahim had no recorded disclosures.
View Dalia Ibrahim's current disclosuresAt the time the article was last revised Rohit Sharma had no financial relationships to ineligible companies to disclose.
View Rohit Sharma's current disclosures- Translation spine fracture
- Translation-rotation spine fracture
- Rotation spine fractures
- Translation-rotation spine injuries
- Translation-rotation spinal injury
- Translation-rotation spinal injuries
Translation-rotation spine injuries are severe injuries characterized by horizontal displacement or rotation of one vertebral body with respect to another.
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Pathology
These injuries result from torsional and shear forces ref. They are usually severe injuries and involve the posterior ligamentous complex (PLC) ref.
Pathology
The following characterizes translation-rotation spine injuries ref:
unilateral or bilateral perched or dislocated facet joints
vertebral body subluxation/translation or rotation
-
posterior ligamentous complex injuries
splaying of the spinous processes with widening of the interspinous space
avulsion fractures of the superior or inferior aspects of contiguous spinous processes
common additional findings include transverse process and rib fractures
Radiographic features
Translational injuries are best seen on lateral radiographs or sagittal CT/MRI, while the mediolateral instability is best seen on coronal images ref.
Practical points
Using the thoracolumbar injury classification and severity score (TLICS), results in 3 points for the morphology and 3 points for the PLC, making a total of 6 points, which indicates a need for surgical stabilization.
Differential diagnosis
See also
References
- 1. Khurana B, Sheehan S, Sodickson A, Bono C, Harris M. Traumatic Thoracolumbar Spine Injuries: What the Spine Surgeon Wants to Know. Radiographics. 2013;33(7):2031-46. doi:10.1148/rg.337135018 - Pubmed
- 2. Gamanagatti S, Rathinam D, Rangarajan K, Kumar A, Farooque K, Sharma V. Imaging Evaluation of Traumatic Thoracolumbar Spine Injuries: Radiological Review. World J Radiol. 2015;7(9):253-65. doi:10.4329/wjr.v7.i9.253 - Pubmed
- 3. Victor N. Cassar-Pullicino, Herwig Imhof. Spinal Trauma. (2006) ISBN: 9781588903488 - Google Books
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