Orthonotes
Orthonotes
by the.bonestories
v3.5 Fusion Pro
v3.5 Fusion Pro
Back to OrthoWeb
wiki spine 14 verified links

Thoracolumbar Burst Fractures — Load Sharing

Assess stability and neurology with TLICS; Load Sharing Classification (McCormack) predicts need for anterior support. High load‑sharing score (≥7) → consider anterior column reconstruction with corpectomy/cage in addition to posterior fixation. Posterior pedicle screw constructs (short vs long segment) are standard; add intermediate screws at the fractured level to improve stability. Canal compromise alone is not an absolute indication for laminectomy—retropulsed fragments resorb over time if P...