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Orthopaedic

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Spinal Injury

Question
15 out of 20
 

Which statement is true about the “three-column concept” of spinal fracture stability?



A An unstable spine consists of bone or soft tissue injury in a single column.

B An unstable spine involves injury to all three columns.

C Instability results from injury to two columns plus evidence of compression of the dural tube.

D Instability results from significant bone and/or soft tissue injury in two columns.

Ans. D

Instability results from significant bone and/or soft tissue injury in two columns.

a. Denis developed a classification system for a thoracolumbar spine injury based on a three-column concept.

b. In this system, the spine is divided into three longitudinal regions or columns: anterior, middle, and posterior.

c. Although references to such “columns” is anatomically imprecise, the term is clinically useful in assessing the stability of the injured spine. In general, instability results when significant disruption is present in two of the three columns, regardless of the presence or absence of neurologic deficit.

Spinal Injury Flashcard List

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