Thoracolumbar compression fractures - experimental study and case presentation

Piotr Cieślik , Anna Floriańczyk , Krzysztof Kwiatkowski , Anna Dąbrowska-Tkaczyk , Konstanty Skalski


Background Epiphyseal stabilisation and reduction with the use of ligamentotaxis are employed in the surgical treatment of compression fractures of the spine. The mechanism of ligamentotaxis has not been fully elucidated. Therefore, it is fundamental to analyse various clinical data to determine the study area relevant to the elucidation of this mechanism. Material and methods. We developed criteria for data selection from patient medical records for a newly-created database regarding cases of thoracolumbar vertebral body fractures. We also developed rules for assigning cases to a specific group according to the AO/Magerl classification. The methodology of fracture assessment involved the results of visualization of the spinal segment including the injured vertebral bodies and their virtual and material models. To this end, preoperative CT images were processed with specialised computer software. Results. A biomechanically-oriented classification of clinical cases in the database was carried out based on 3D-CAD virtual models of spinal segments and models of individual injured vertebral bodies and RP material models in FDM technology. We indicated cases in which ligamentotaxis could be of use. Conclusions. 1. Our analysis of ligamentotaxis research shows that the focus should be on cases of comminuted and nonosteoporotic fractures. 2. Supporting work-up with 3D-CAD virtual and RP material models of spinal structures appears to be useful not only for the purposes of the present study but also in medical practice. © MEDSPORTPRESS, 2013.

Author Piotr Cieślik - [Wojskowy Instytut Medycyny Lotniczej, Warsaw]
Piotr Cieślik,,
, Anna Floriańczyk - [Warsaw University of Technology (PW)]
Anna Floriańczyk,,
- Politechnika Warszawska
, Krzysztof Kwiatkowski - [Wojskowy Instytut Medycyny Lotniczej, Warsaw]
Krzysztof Kwiatkowski,,
, Anna Dąbrowska-Tkaczyk (FPE / IMP)
Anna Dąbrowska-Tkaczyk,,
- The Institute of Mechanics and Printing
, Konstanty Skalski (FPE / IMP)
Konstanty Skalski,,
- The Institute of Mechanics and Printing
Journal seriesOrtopedia Traumatologia Rehabilitacja, ISSN 1509-3492, e-ISSN 2084-4336
Issue year2013
ASJC Classification2742 Rehabilitation; 2732 Orthopedics and Sports Medicine
Languageen angielski
Score (nominal)15
Score sourcejournalList
ScoreMinisterial score = 9.0, 06-12-2019, ArticleFromJournal
Ministerial score (2013-2016) = 15.0, 06-12-2019, ArticleFromJournal
Publication indicators Scopus Citations = 0; Scopus SNIP (Source Normalised Impact per Paper): 2013 = 0.421
Citation count*
Share Share

Get link to the record

* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.
Are you sure?