Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Denis Three-Column — Thoracolumbar Injuries

Compression: anterior column only — usually stable. Burst: anterior + middle columns — unstable, canal compromise risk. Flexion-distraction (Chance): posterior tension failure — unstable. Fracture-dislocation: all three columns — highly unstable, neuro injury common.

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Compression: anterior column only — usually stable. Burst: anterior + middle columns — unstable, canal compromise risk. Flexion-distraction (Chance): posterior tension failure — unstable. Fracture-dislocation: all three columns — highly unstable, neuro injury common.
MCQs

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Question 1

Which of the following types of thoracolumbar fractures is considered stable according to the Denis three-column model?

Question 2

What is the primary determinant of stability in the Denis three-column model?

Question 3

Which type of thoracolumbar injury is characterized by the failure of posterior tension structures?

Question 4

In a burst fracture, which column is most at risk for neural compromise due to retropulsion of fragments?

Question 5

According to Denis's stability rule, which of the following injuries would be classified as unstable?

Question 6

Which column is primarily responsible for resisting flexion in the thoracolumbar spine?

Question 7

What is the hallmark of an unstable thoracolumbar injury according to the Denis classification?

Question 8

In the context of thoracolumbar injuries, what is the likely risk associated with fracture-dislocation?

Question 9

What is the primary function of the anterior column in the thoracolumbar spine?

Question 10

Which of the following statements about the Denis three-column model is true?