What should an ideal spinal injury classification system consist of? A methodological review and conceptual proposal for future classifications

European Spine Journal

Volumn 19, Issue 8, 2010, Pages 1238-1249

  Van Middendorp, Joost J ^b   Audigé, Laurent ^b   Hanson, Beate ^b   Chapman, Jens R ^c   Hosman, Allard J F ^a  

^a RADBOUD UNIVERSITY MEDICAL CENTER   (Netherlands)

^b AO Clinical Investigation and Documentation   (Switzerland)

^c UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Classification system Severity measure; Methodological review; Spinal injury; Treatment algorithm

Indexed keywords

COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DISEASE CLASSIFICATION; DISEASE SEVERITY; HUMAN; MEASUREMENT; PRIORITY JOURNAL; REVIEW; SPINE INJURY;

ALGORITHMS; HUMANS; REPRODUCIBILITY OF RESULTS; SPINAL INJURIES;

EID: 77956935364     PISSN: 09406719     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00586-010-1415-9     Document Type: Review

References (111)

1. American Spinal Injury Association: International Standards for Neurological Classification of Spinal Cord Injury, revised 2003. In: American Spinal Injury Association, Chicago, IL
2. Aebi M, Nazarian S (1987) Classification of injuries of the cervical spine. Orthopade 16:27-36
3. Allen BL Jr, Ferguson RL, Lehmann TR, O'Brien RP (1982) A mechanistic classification of closed, indirect fractures and dislocations of the lower cervical spine. Spine 7:1-27
4. Anderson LD, D'Alonzo RT (1974) Fractures of the odontoid process of the axis. J Bone Joint Surg Am 56:1663-1674
5. Anderson PA, Moore TA, Davis KW, Molinari RW, Resnick DK, Vaccaro AR, Bono CM, Dimar JR 2nd, Aarabi B, Leverson G (2007) Cervical spine injury severity score. Assessment of reliability. J Bone Joint Surg Am 89:1057-1065
6. Argenson C, Peretti F, Ghabris A, Eude P, Lovet J, Hovorka I (1997) Classification of lower cervical spine injuries. Eur J Orthop Surg Traumatol 7:215-229
7. Audigé L, Bhandari M, Hanson B, Kellam J (2005) A concept for the validation of fracture classifications. J Orthop Trauma 19:404-409
8. Bach CM, Steingruber IE, Peer S, Peer-Kuhberger R, Jaschke W, Ogon M (2001) Radiographic evaluation of cervical spine trauma. Plain radiography and conventional tomography versus computed tomography. Arch Orthop Trauma Surg 121:385-387
9. Bailitz J, Starr F, Beecroft M, Bankoff J, Roberts R, Bokhari F, Joseph K, Wiley D, Dennis A, Gilkey S, Erickson P, Raksin P, Nagy K (2009) CT should replace three-view radiographs as the initial screening test in patients at high, moderate, and low risk for blunt cervical spine injury: a prospective comparison. J Trauma 66:1605-1609
10. Baker SP, O'Neill B, Haddon W Jr, Long WB (1974) The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma 14:187-196
11. Ballock RT, Mackersie R, Abitbol JJ, Cervilla V, Resnick D, Garfin SR (1992) Can burst fractures be predicted from plain radiographs? J Bone Joint Surg Br 74-B:147-150
12. Bamvita JM, Bergeron E, Lavoie A, Ratte S, Clas D (2007) The impact of premorbid conditions on temporal pattern and location of adult blunt trauma hospital deaths. J Trauma 63:135-141
13. Blauth M, Bastian L, Knop C, Lange U, Tusch G (1999) Inter-observer reliability in the classification of thoraco-lumbar spinal injuries. Orthopade 28:662-681
14. Bohler L (1929) The treatment of fractures. A translation of "Technik der Knochenbruchbehandlung im Frieden und im Kriege" by M.E. Steinberg. Wilhelm Maudrich, Vienna, Austria
15. Bono CM, Vaccaro AR, Fehlings M, Fisher C, Dvorak M, Ludwig S, Harrop J (2006) Measurement techniques for lower cervical spine injuries: consensus statement of the Spine Trauma Study Group. Spine (Phila Pa 1976) 31:603-609
16. Bono CM, Vaccaro AR, Fehlings M, Fisher C, Dvorak M, Ludwig S, Harrop J (2007) Measurement techniques for upper cervical spine injuries: consensus statement of the Spine Trauma Study Group. Spine 32:593-600
17. Brown CV, Antevil JL, Sise MJ, Sack DI (2005) Spiral computed tomography for the diagnosis of cervical, thoracic, and lumbar spine fractures: its time has come. J Trauma 58:890-895 (discussion 895-896)
18. Bucholz RW, Gill K (1986) Classification of injuries to the thoracolumbar spine. Orthop Clin N A 17:67-73
19. Burrell HL (1905) I. Fracture of the spine: a summary of all the cases (244) which were treated at the Boston City Hospital from 1864 to 1905. Ann Surg 42:481-506
20. Campbell SE, Phillips CD, Dubovsky E, Cail WS, Omary RA (1995) The value of CT in determining potential instability of simple wedge-compression fractures of the lumbar spine. AJNR Am J Neuroradiol 16:1385-1392
21. Chapman JR (2009) Classifications in spine: a tectonic shift. Spine J 9:776-777
22. Chapman JR, Dettori JR, Norvell DC (eds) (2009) Spine Classifications and Severity Measures. Thieme Verlag, New York
23. Dai L-YMDP, Ding W-GMDM, Wang X-YMDP, Jiang L-SMDP, Jiang S-DMDP, Xu H-ZMD (2009) Assessment of lig-amentous injury in patients with thoracolumbar burst fractures using MRI. J Trauma-Injury Infect Crit Care 66:1610-1615
24. Dai LY, Wang XY, Jiang LS, Jiang SD, Xu HZ (2008) Plain radiography versus computed tomography scans in the diagnosis and management of thoracolumbar burst fractures. Spine (Phila Pa 1976) 33:E548-E552
25. Daly LE, Bourke GJ (2007) Interpretation and uses of medical statistics. Blackwell, Oxford, UK, pp 381-392
26. Denis F (1983) The three column spine and its significance in the classification of acute thoracolumbar spinal injuries. Spine 8:817-831
27. Diaz JJ Jr, Cullinane DC, Altman DT, Bokhari F, Cheng JS, Como J, Gunter O, Holevar M, Jerome R, Kurek SJ Jr, Lorenzo M, Mejia V, Miglietta M, O'Neill PJ, Rhee P, Sing R, Streib E, Vaslef S (2007) Practice management guidelines for the screening of tho-racolumbar spine fracture. J Trauma 63:709-718
28. Emery SE, Pathria MN, Wilber RG, Masaryk T, Bohlman HH (1989) Magnetic resonance imaging of posttraumatic spinal ligament injury. J Spinal Disord 2:229-233
29. Fassett DR, Dailey AT, Vaccaro AR (2008) Vertebral artery injuries associated with cervical spine injuries: a review of the literature. J Spinal Disord Tech 21:252-258
30. Fehlings MG, Perrin RG (2006) The timing of surgical intervention in the treatment of spinal cord injury: a systematic review of recent clinical evidence. Spine 31:S28-S35 (discussion S36)
31. Ferguson RL, Allen BL, Jr (1984) A mechanistic classification of thoracolumbar spine fractures. Clin Orthop Relat Res 189:77-88
32. Fielding JW, Hawkins RJ (1977) Atlanto-axial rotatory fixation. (Fixed rotatory subluxation of the atlanto-axial joint). J Bone Joint Surg Am 59:37-44
33. Francis WR, Fielding JW, Hawkins RJ, Pepin J, Hensinger R (1981) Traumatic spondylolisthesis of the axis. J Bone Joint Surg Br 63-B:313-318
34. Gale SC, Gracias VH, Reilly PM, Schwab CW (2005) The inefficiency of plain radiography to evaluate the cervical spine after blunt trauma. J Trauma 59:1121-1125
35. Garbuz DS, Masri BA, Esdaile J, Duncan CP (2002) Classification systems in orthopaedics. J Am Acad Orthop Surg 10:290-297
36. Gertzbein SD, Court-Brown CM (1988) Flexion-distraction injuries of the lumbar spine. Mechanisms of injury and classification. Clin Orthop Relat Res 227:52-60
37. Goradia D, Linnau KF, Cohen WA, Mirza S, Hallam DK, Blackmore CC (2007) Correlation of MR imaging findings with intraoperative findings after cervical spine trauma. AJNR Am J Neuroradiol 28:209-215
38. Grauer JN, Shafi B, Hilibrand AS, Harrop JS, Kwon BK, Beiner JM, Albert TJ, Fehlings MG, Vaccaro AR (2005) Proposal of a modified, treatment-oriented classification of odontoid fractures. Spine J 5:123-129
39. Griffen MM, Frykberg ER, Kerwin AJ, Schinco MA, Tepas JJ, Rowe K, Abboud J (2003) Radiographic clearance of blunt cervical spine injury: plain radiograph or computed tomography scan? J Trauma 55:222-226 (discussion 226-227)
40. Grossman MDMD, Reilly PMMD, Gillett TBS, Gillett DBS (1999) National survey of the Incidence of cervical spine injury and approach to cervical spine clearance in U.S. Trauma centers. J Trauma-Injury Infect Crit Care 47:684
41. Gustilo RB, Anderson JT (1976) Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg [Am] 58:453-458
42. Haba H, Taneichi H, Kotani Y, Terae S, Abe S, Yoshikawa H, Abumi K, Minami A, Kaneda K (2003) Diagnostic accuracy of magnetic resonance imaging for detecting posterior ligamentous complex injury associated with thoracic and lumbar fractures. J Neurosurg 99:20-26
43. Harris JH Jr, Edeiken-Monroe B, Kopaniky DR (1986) A practical classification of acute cervical spine injuries. Orthop Clin North Am 17:15-30
44. Harrop JS, Vaccaro AR, Hurlbert RJ, Wilsey JT, Baron EM, Shaffrey CI, Fisher CG, Dvorak MF, Oner FC, Wood KB, Anand N, Anderson DG, Lim MR, Lee JY, Bono CM, Arnold PM, Rampersaud YR, Fehlings MG (2006) Intrarater and interrater reliability and validity in the assessment of the mechanism of injury and integrity of the posterior ligamentous complex: a novel injury severity scoring system for thoraco-lumbar injuries. Invited submission from the Joint Section Meeting On Disorders of the Spine and Peripheral Nerves, March 2005. J Neurosurg Spine 4:118-122
45. Hauser CJ, Visvikis G, Hinrichs C, Eber CD, Cho K, Lavery RF, Livingston DH (2003) Prospective validation of computed tomographic screening of the thoracolumbar spine in trauma. J Trauma 55:228-234 (discussion 234-225)
46. Hogan GJ, Mirvis SE, Shanmuganathan K, Scalea TM (2005) Exclusion of unstable cervical spine injury in obtunded patients with blunt trauma: is MR imaging needed when multi-detector row CT findings are normal?1. Radiology 237:106-113
47. Holdsworth FW (1963) Fractures, dislocations, and fracture- dislocations of the spine. J Bone Joint Surg Br 45-B:6-20
48. Holmes JF, Akkinepalli R (2005) Computed tomography versus plain radiography to screen for cervical spine injury: a meta-analysis. J Trauma 58:902-905
49. Holmes JF, Mirvis SE, Panacek EA, Hoffman JR, Mower WR, Velmahos GC (2002) Variability in computed tomography and magnetic resonance imaging in patients with cervical spine injuries. J Trauma 53:524-529 (discussion 530)
50. Horn EM, Theodore N, Feiz-Erfan I, Lekovic GP, Dickman CA, Sonntag VK (2006) Complications of halo fixation in the elderly. J Neurosurg Spine 5:46-49
51. Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB (eds) (2006) Designing clinical research. Lippincott Williams and Wilkins, Philadelphia, PA, pp 37-49
52. Isomi T, Panjabi MM, Kato Y, Wang JL (2000) Radiographic parameters for evaluating the neurological spaces in experimental thoracolumbar burst fractures. J Spinal Disord 13:404-411
53. Joseph SA Jr, Stephen M, Meinhard BP (2008) The successful short-term treatment of flexion-distraction injuries of the thoracic spine using posterior-only pedicle screw instrumentation. J Spinal Disord Tech 21:192-198
54. Katz MA, Beredjiklian PK, Vresilovic EJ, Tahernia AD, Gabriel JP, Chan PS, Heppenstall RB (1999) Computed tomographic scanning of cervical spine fractures: does it influence treatment? J Orthop Trauma 13:338-343
55. Keene JS, Goletz TH, Lilleas F, Alter AJ, Sackett JF (1982) Diagnosis of vertebral fractures. A comparison of conventional radiography, conventional tomography, and computed axial tomography. J Bone Joint Surg Am 64:586-594
56. Keynan O, Fisher CG, Vaccaro A, Fehlings MG, Oner FC, Dietz J, Kwon B, Rampersaud R, Bono C, France J, Dvorak M (2006) Radiographic measurement parameters in thoracolumbar fractures: a systematic review and consensus statement of the spine trauma study group. Spine (Phila Pa 1976) 31:E156-E165
57. Klein GR, Vaccaro AR, Albert TJ, Schweitzer M, Deely D, Karasick D, Cotler JM (1999) Efficacy of magnetic resonance imaging in the evaluation of posterior cervical spine fractures. Spine 24:771-774
58. Korres DS, Benetos IS, Evangelopoulos DS, Athanasssacopou-los M, Gratsias P, Papamichos O, Babis GC (2007) Tear-drop fractures of the lower cervical spine: classification and analysis of 54 cases. Eur J Orthop Surg Traumatol 17:521-526
59. Kotani Y, Abumi K, Ito M, Minami A (2005) Cervical spine injuries associated with lateral mass and facet joint fractures: new classification and surgical treatment with pedicle screw fixation. Eur Spine J 14:69-77
60. Labattaglia MP, Cameron PA, Santamaria M, Varma D, Thomson K, Bailey M, Kossmann T (2007) Clinical outcomes of magnetic resonance imaging in blunt cervical trauma. Emerg Med Australas 19:253-261
61. Landells CD, Van Peteghem PK (1988) Fractures of the atlas: classification, treatment and morbidity. Spine 13:450-452
62. Lee HM, Kim HS, Kim DJ, Suk KS, Park JO, Kim NH (2000) Reliability of magnetic resonance imaging in detecting posterior ligament complex injury in thoracolumbar spinal fractures. Spine (Phila Pa 1976) 25:2079-2084
63. Lee SH, Sung JK (2009) Unilateral lateral mass-facet fractures with rotational instability: new classification and a review of 39 cases treated conservatively and with single segment anterior fusion. J Trauma 66:758-767
64. Leferink VJ, Veldhuis EF, Zimmerman KW, ten Vergert EM, ten Duis HJ (2002) Classificational problems in ligamentary distraction type vertebral fractures: 30% of all B-type fractures are initially unrecognised. Eur Spine J 11:246-250
65. Liu P, Zhao J, Liu F, Liu M, Fan W (2008) A novel operative approach for the treatment of old distractive flexion injuries of subaxial cervical spine. Spine (Phila Pa 1976) 33:1459-1464
66. Magerl F, Aebi M, Gertzbein SD, Harms J, Nazarian S (1994) A comprehensive classification of thoracic and lumbar injuries. Eur Spine J 3:184-201
67. Martin J, Marsh JL, Nepola JV, Dirschl DR, Hurwitz S, DeC-oster TA (2000) Radiographic fracture assessments: which ones can we reliably make? J Orthop Trauma 14:379-385
68. Martin JS, Marsh JL (1997) Current classification of fractures. Rationale and utility. Radiol Clin N A 35:491-506
69. McAfee PC, Yuan HA, Fredrickson BE, Lubicky JP (1983) The value of computed tomography in thoracolumbar fractures. An analysis of one hundred consecutive cases and a new classification. J Bone Joint Surg Am 65:461-473
70. McCulloch PT, France J, Jones DL, Krantz W, Nguyen T-P, Chambers C, Dorchak J, Mucha P (2005) Helical computed tomography alone compared with plain radiographs with adjunct computed tomography to evaluate the cervical spine after high-energy trauma. J Bone Joint Surg Am 87:2388-2394
71. Meyer P (2000) Universal spine fracture classification. Chir Organi Mov 85:95-100
72. Milzman DP, Boulanger BR, Rodriguez A, Soderstrom CA, Mitchell KA, Magnant CM (1992) Pre-existing disease in trauma patients: a predictor of fate independent of age and injury severity score. J Trauma 32:236-243 (discussion 243-234)
73. Mirza SK, Mirza AJ, Chapman JR, Anderson PA (2002) Classifications of thoracic and lumbar fractures: rationale and supporting data. J Am Acad Orthop Surg 10:364-377
74. Moore TA, Vaccaro AR, Anderson PA (2006) Classification of lower cervical spine injuries. Spine 31:S37-S43
75. Muller ME, Nazarian S, Koch P (1987) Classification AO des fractures. Tome I. Les os longs. Springer, Berlin
76. Nicoll EA (1949) Fractures of the dorso-lumbar spine. J Bone Joint Surg Br 31-B:376-394
77. Nightingale RW, McElhaney JH, Richardson WJ, Best TM, Myers BS (1996) Experimental impact injury to the cervical spine: relating motion of the head and the mechanism of injury. J Bone Joint Surg Am 78:412-421
78. Oner FC, van Gils APG, Dhert WJA, Verbout AJ (1999) MRI findings of thoracolumbar spine fractures: a categorisation based on MRI examinations of 100 fractures. Skeletal Radiol 28:433-443
79. Petersilge CA, Pathria MN, Emery SE, Masaryk TJ (1995) Thoracolumbar burst fractures: evaluation with MR imaging. Radiology 194:49-54
80. Poonnoose PMMS, Ravichandran GF, McClelland MRF (2002) Missed and mismanaged injuries of the spinal cord. J Trauma- Injury Infection Crit Care 53:314-320
81. Rahimi-Movaghar V, Saadat S, Vaccaro A, Ghodsi SM, Samadian M, Sheykhmozaffari A, Safdari SM, Keshmirian B (2009) The efficacy of surgical decompression before 24 hours versus 24 to 72 hours in patients with spinal cord injury from T1 to L1-with specific consideration on ethics: a randomized controlled trial. Trials 10:77
82. Raja Rampersaud Y, Fisher C, Wilsey J, Arnold P, Anand N, Bono CM, Dailey AT, Dvorak M, Fehlings MG, Harrop JS, Oner FC, Vaccaro AR (2006) Agreement between orthopedic surgeons and neurosurgeons regarding a new algorithm for the treatment of thoracolumbar injuries: a multicenter reliability study. J Spinal Disord Tech 19:477-482
83. Ruedi TP, Buckley RE, Moran CG (eds) (2007) AO principles of fracture management, vol 1: principles. Thieme Verlag, New York, NY
84. Saifuddin A, Green R, White J (2003) Magnetic resonance imaging of the cervical ligaments in the absence of trauma. Spine (Phila Pa 1976) 28:1686-1691 (discussion 1691-1682)
85. Saifuddin A, Noordeen H, Taylor BA, Bayley I (1996) The role of imaging in the diagnosis and management of thoracolumbar burst fractures: current concepts and a review of the literature. Skeletal Radiol 25:603-613
86. Schuster R, Waxman K, Sanchez B, Becerra S, Chung R, Conner S, Jones T (2005) Magnetic resonance imaging is not needed to clear cervical spines in blunt trauma patients with normal computed tomographic results and no motor deficits. Arch Surg 140:762-766
87. Schweitzer KM Jr, Vaccaro AR, Harrop JS, Hurlbert J, Carrino JA, Rechtine GR, Schwartz DG, Alanay A, Sharma DK, Anderson DG, Lee JY, Arnold PM (2007) Interrater reliability of identifying indicators of posterior ligamentous complex disruption when plain films are indeterminate in thoracolumbar injuries. J Orthop Sci 12:437-442
88. Schweitzer KM Jr, Vaccaro AR, Lee JY, Grauer JN (2006) Confusion regarding mechanisms of injury in the setting of thoracolumbar spinal trauma: a survey of The Spine Trauma Study Group (STSG). J Spinal Disord Tech 19:528-530
89. Shono Y, McAfee PC, Cunningham BW (1993) The pathome- chanics of compression injuries in the cervical spine. Nondestructive and destructive investigative methods. Spine (Phila Pa 1976) 18:2009-2019
90. Slongo T, Audig L, Schlickewei W, Clavert JM, Hunter J (2006) Development and validation of the AO pediatric comprehensive classification of long bone fractures by the Pediatric Expert Group of the AO Foundation in collaboration with AO Clinical Investigation and Documentation and the International Association for Pediatric Traumatology. J Pediatr Orthop 26:43-49
91. Slongo T, Audige L, Clavert JM, Lutz N, Frick S, Hunter J (2007) The AO comprehensive classification of pediatric long-bone fractures: a web-based multicenter agreement study. J Pediatr Orthop 27:171-180
92. Stabler A, Eck J, Penning R, Milz SP, Bartl R, Resnick D, Reiser M (2001) Cervical spine: postmortem assessment of accident injuries-comparison of radiographic, MR imaging, anatomic, and pathologic findings. Radiology 221:340-346
93. Stedman's Medical Dictionary (2005) Lippincott Williams and Wilkins. Philadelphia, PA
94. Steeves JD, Lammertse D, Curt A, Fawcett JW, Tuszynski MH, Ditunno JF, Ellaway PH, Fehlings MG, Guest JD, Kleitman N, Bartlett PF, Blight AR, Dietz V, Dobkin BH, Grossman R, Short D, Nakamura M, Coleman WP, Gaviria M, Privat A (2007) Guidelines for the conduct of clinical trials for spinal cord injury (SCI) as developed by the ICCP panel: clinical trial outcome measures. Spinal Cord 45:206-221 (Pubitemid 46340849)
95. Terk MR, Hume-Neal M, Fraipont M, Ahmadi J, Colletti PM (1997) Injury of the posterior ligament complex in patients with acute spinal trauma: evaluation by MR imaging. Am J Roent-genol 168:1481-1486
96. Thomas J, Rideau AM, Paulson EK, Bisset Iii GS (2008) Emergency department imaging: current practice. J Am College Radiol 5:e811-2816, e812
97. Tsou PM, Wang J, Khoo L, Shamie AN, Holly L (2006) A thoracic and lumbar spine injury severity classification based on neurologic function grade, spinal canal deformity, and spinal biomechanical stability. Spine J 6:636-647
98. Vaccaro AR, Baron EM, Sanfilippo J, Jacoby S, Steuve J, Grossman E, DiPaola M, Ranier P, Austin L, Ropiak R, Ciminello M, Okafor C, Eichenbaum M, Rapuri V, Smith E, Orozco F, Ugolini P, Fletcher M, Minnich J, Goldberg G, Wilsey J, Lee JY, Lim MR, Burns A, Marino R, DiPaola C, Zeiller L, Zeiler SC, Harrop J, Anderson DG, Albert TJ, Hilibrand AS (2006) Reliability of a novel classification system for thoracolumbar injuries: the thoracolumbar injury severity score. Spine 31:S62-S69 (discussion S104)
99. Vaccaro AR, Hulbert RJ, Patel AA, Fisher C, Dvorak M, Lehman RA Jr, Anderson P, Harrop J, Oner FC, Arnold P, Fehlings M, Hedlund R, Madrazo I, Rechtine G, Aarabi B, Shainline M (2007) The subaxial cervical spine injury classification system: a novel approach to recognize the importance of morphology, neurology, and integrity of the disco-ligamentous complex. Spine 32:2365-2374
100. Vaccaro AR, Klein GR, Thaller JB, Rushton SA, Cotler JM, Albert TJ (2001) Distraction extension injuries of the cervical spine. J Spinal Disord 14:193-200
101. Vaccaro AR, Lehman RA Jr, Hurlbert RJ, Anderson PA, Harris M, Hedlund R, Harrop J, Dvorak M, Wood K, Fehlings MG, Fisher C, Zeiller SC, Anderson DG, Bono CM, Stock GH, Brown AK, Kuklo T, Oner FC (2005) A new classification of thoracolumbar injuries: the importance of injury morphology, the integrity of the posterior ligamentous complex, and neurologic status. Spine 30:2325-2333
102. Vaccaro AR, Zeiller SC, Hulbert RJ, Anderson PA, Harris M, Hedlund R, Harrop J, Dvorak M, Wood K, Fehlings MG, Fisher C, Lehman RA Jr, Anderson DG, Bono CM, Kuklo T, Oner FC (2005) The thoracolumbar injury severity score: a proposed treatment algorithm. J Spinal Disord Tech 18(3):209-215
103. van Middendorp JJ, Albert TJ, Veth RPH, Hosman AJF (2010) Methodological systematic review: mortality in elderly patients with cervical spine injury: a critical appraisal of the reporting of baseline characteristics, follow-up, cause of death, and analysis of risk factors. Spine 35:1079-1087
104. Verlaan JJ, Diekerhof CH, Buskens E, van der Tweel I, Verbout AJ, Dhert WJ, Oner FC (2004) Surgical treatment of traumatic fractures of the thoracic and lumbar spine: a systematic review of the literature on techniques, complications, and outcome. Spine 29:803-814
105. Vieweg U, Schultheiss R (2001) A review of halo vest treatment of upper cervical spine injuries. Arch Orthop Trauma Surg 121:50-55
106. Watson-Jones R (1938) The results of postural reduction of fractures of the spine. J Bone Joint Surg Am 20:567-586
107. WeiBkopf M, Bail H, Mack M, Stockle U, Hoffmann R (1999) Wertigkeit der MRT bei traumatischer diskoligamentarer In- stabilitat der unteren HWS. Der Unfallchirurg 102:942-948
108. Whang PG, Vaccaro AR (2007) Thoracolumbar fracture: posterior instrumentation using distraction and ligamentotaxis reduction. J Am Acad Orthop Surg 15:695-701
109. Whitley JE, Forsyth HF (1960) The classification of cervical spine injuries. Am J Roentgenol Radium Ther Nucl Med 3:633-644
110. Wright JG, Feinstein AR (1992) Improving the reliability of orthopaedic measurements. J Bone Joint Surg Br 74-B:287-291
111. Zehnder SW, Lenarz CJ, Place HM (2009) Teachability and reliability of a new classification system for lower cervical spinal injuries. Spine 34:2039-2043