Lumbar spinal stability: Decision making

Abstract

Thoracolumbar and lumbar injuries represent the majority of spinal fractures, with injuries between T11 and L1 being the most frequent [11]. Despite the frequency of these injuries, there remains considerable controversy regarding the most appropriate treatment. An understanding of the underlying anatomy and biomechanics, as well as familiarity with the clinical and radiographic assessment of the initial trauma, will help guide the surgeon toward the optimal management of the patient. © 2010 Springer-Verlag Berlin Heidelberg.