Description

Magerl et al developed a classification for injuries to the thoracic and lumbar spine using a scheme similar to that used for the AO fracture classification. The Type A fractures involve pure compressive injury to a vertebral body of the anterior column. The authors are from multiple institutions in Europe and North America.


 

Since the anterior longitudinal ligament and posterior vertebral elements are intact, these fractures tend to be stable in extension.

 

Major Subtype

Minor Subtype

Subdivider

Classification

impaction fracture

 

 

A1

 

endplate impaction

 

A1.1

 

wedge impaction

 

A1.2

 

 

superior

A1.2.1

 

 

lateral

A1.2.2

 

 

inferior

A1.2.3

 

vertebral body collapse

 

A1.3

split fracture

 

 

A2

 

 

sagittal

A2.1

 

 

coronal

A2.2

 

 

pincer

A2.3

burst fracture

 

 

A3

 

incomplete burst

 

A3.1

 

 

superior

A3.1.1

 

 

lateral

A3.1.2

 

 

inferior

A3.1.3

 

burst-split

 

A3.2

 

 

superior

A3.2.1

 

 

lateral

A3.2.2

 

 

inferior

A3.2.3

 

complete burst

 

A3.3

 

 

pincer

A3.3.1

 

 

complete flexion

A3.3.2

 

 

complete axial

A3.3.3

 


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