胸腰椎损伤分类及损伤程度评分系统的研究进展

Thoracolumbar fracture, the most common spinal fracture, is a disease of high-incidence, high-cost and high disability rate. As a medical challenge, its classiifcation has always been concerned by the experts both at home and abroad. With the development of domestic and foreign industries, increase of trafifc accidents and aging of the population, its incidence is increasing year by year. So it is of great social and medical signiifcance to further explore the new classification method for thoracolumbar fractures, in order to guide the clinical treatment more effectively. An ideal classiifcation system for thoracolumbar fractures should be comprehensive, visualized and simple. To properly apply the commonly cited classification systems for thoracolumbar fractures, surgeons must not only know the injury categories described in the original studies, but also be familiar with the rationale for the development of classiifcation systems. A rigorous scientiifc foundation is needed for common thoracolumbar injury classiifcations described in many previous studies. They were largely based on the subjective insights of experienced surgeons and researchers. Several classiifcation systems have been proposed by far, and the most frequently used are the Denis, AO, load sharing classiifcation ( LSC ) and thoracolumbar injury classiifcation and severity core ( TLICS ) classiifcation systems. In this paper, the history and present situation of thoracolumbar fracture classiifcation systems are reviewed.