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Facet-Lamina Thoracolumbar Fracture
Bryson Borg, MD
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KEY FACTS

  • Imaging

    • Pathology

      TERMINOLOGY

      • Synonyms

        • Neural (vertebral) arch fracture
        • Posterior column fracture
      • Definitions

        • Posterior column of spine defined (by Denis) as structures dorsal to posterior longitudinal ligament
          • Superior and inferior articular facets, articular pillars, lamina and spinous processes
          • Facet joint capsules
          • Ligamentum flavum
          • Interspinous and supraspinous ligaments

      IMAGING

      • General Features

        • Radiographic Findings

          • CT Findings

            • MR Findings

              • Imaging Recommendations

                PATHOLOGY

                • General Features

                  Selected References

                  1. Westerveld LA et al: Clinical outcome after traumatic spinal fractures in patients with ankylosing spinal disorders compared with control patients. Spine J. 14(5):729-40, 2014
                  2. Bernstein MP et al: Chance-type fractures of the thoracolumbar spine: imaging analysis in 53 patients. AJR Am J Roentgenol. 187(4):859-68, 2006
                  3. Vaccaro AR et al: A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine (Phila Pa 1976). 30(20):2325-33, 2005
                  4. Haba H et al: Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. J Neurosurg. 99(1 Suppl):20-6, 2003
                  5. Wintermark M et al: Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 227(3):681-9, 2003
                  6. Mirza SK et al: Classifications of thoracic and lumbar fractures: rationale and supporting data. J Am Acad Orthop Surg. 10(5):364-77, 2002
                  7. Trivedi JM: Spinal trauma: therapy--options and outcomes. Eur J Radiol. 42(2):127-34, 2002
                  8. Holmes JF et al: Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med. 8(9):866-72, 2001
                  9. Nabeshima Y et al: Extension injury of the thoracolumbar spine. Spine (Phila Pa 1976). 22(13):1522-5; discussion 1525-6, 1997
                  10. Denis F: Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop. (189):65-76, 1984
                  11. Denis F: The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 8(8):817-31, 1983
                  Related Anatomy
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                  Related Differential Diagnoses
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                  References
                  Tables

                  Tables

                  KEY FACTS

                  • Imaging

                    • Pathology

                      TERMINOLOGY

                      • Synonyms

                        • Neural (vertebral) arch fracture
                        • Posterior column fracture
                      • Definitions

                        • Posterior column of spine defined (by Denis) as structures dorsal to posterior longitudinal ligament
                          • Superior and inferior articular facets, articular pillars, lamina and spinous processes
                          • Facet joint capsules
                          • Ligamentum flavum
                          • Interspinous and supraspinous ligaments

                      IMAGING

                      • General Features

                        • Radiographic Findings

                          • CT Findings

                            • MR Findings

                              • Imaging Recommendations

                                PATHOLOGY

                                • General Features

                                  Selected References

                                  1. Westerveld LA et al: Clinical outcome after traumatic spinal fractures in patients with ankylosing spinal disorders compared with control patients. Spine J. 14(5):729-40, 2014
                                  2. Bernstein MP et al: Chance-type fractures of the thoracolumbar spine: imaging analysis in 53 patients. AJR Am J Roentgenol. 187(4):859-68, 2006
                                  3. Vaccaro AR et al: A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine (Phila Pa 1976). 30(20):2325-33, 2005
                                  4. Haba H et al: Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. J Neurosurg. 99(1 Suppl):20-6, 2003
                                  5. Wintermark M et al: Thoracolumbar spine fractures in patients who have sustained severe trauma: depiction with multi-detector row CT. Radiology. 227(3):681-9, 2003
                                  6. Mirza SK et al: Classifications of thoracic and lumbar fractures: rationale and supporting data. J Am Acad Orthop Surg. 10(5):364-77, 2002
                                  7. Trivedi JM: Spinal trauma: therapy--options and outcomes. Eur J Radiol. 42(2):127-34, 2002
                                  8. Holmes JF et al: Epidemiology of thoracolumbar spine injury in blunt trauma. Acad Emerg Med. 8(9):866-72, 2001
                                  9. Nabeshima Y et al: Extension injury of the thoracolumbar spine. Spine (Phila Pa 1976). 22(13):1522-5; discussion 1525-6, 1997
                                  10. Denis F: Spinal instability as defined by the three-column spine concept in acute spinal trauma. Clin Orthop. (189):65-76, 1984
                                  11. Denis F: The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine. 8(8):817-31, 1983