Translation-rotation spine injury
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Translation-rotation injuries are severe injuries characterized by horizontal displacement or rotation of one vertebral body with respect to another.
Pathology
These injuries result from torsional and shear forces.
This type of injury is usually severe which usually involves the posterior ligamentous complex (PCL)
In the TLICS this means 3 points for the morphology and 3 points for the PLC, which makes a total of 6 points indicating the need for surgical stabilization.
Radiographic features
Translation or rotation spine injury is characterized by:
- unilateral or bilateral perched or dislocated facet joints
- vertebral body subluxation/translation or rotation. Translational injury is best seen on lateral radiographs or sagittal CT or MR images, while the mediolateral instability is best seen on coronal images.
- PCL injury in the form of splaying of the spinous processes with widening of the interspinous space, avulsion fracture of the superior or inferior aspects of contiguous spinous processes
Common findings include transverse process fractures and rib fractures
Differential diagnosis
Distraction/Chance fractures
See also
Thoracolumbar injury classification and severity score (TLICS)
-<p>Translation-rotation injuries are severe injuries characterized by horizontal displacement or rotation of one vertebral body with respect to another.</p><h4>Pathology</h4><p>These injuries result from torsional and shear forces.</p><p>This type of injury is usually severe which usually involves the <a title="Posterior ligamentous complex" href="/articles/posterior-ligamentous-complex">posterior ligamentous complex </a>(PCL)</p><p>In the <a title="Thoracolumbar injury classification and severity score (TLICS)" href="/articles/thoracolumbar-injury-classification-and-severity-score-tlics-1">TLICS</a> this means 3 points for the morphology and 3 points for the PLC, which makes a total of 6 points indicating the need for surgical stabilization.</p><h4>Radiographic features</h4><p>Translation or rotation spine injury is characterized by:</p><ul>- +<p>Translation-rotation injuries are severe injuries characterized by horizontal displacement or rotation of one vertebral body with respect to another.</p><h4>Pathology</h4><p>These injuries result from torsional and shear forces.</p><p>This type of injury is usually severe which usually involves the <a href="/articles/posterior-ligamentous-complex">posterior ligamentous complex </a>(PCL)</p><p>In the <a href="/articles/thoracolumbar-injury-classification-and-severity-score-tlics-1">TLICS</a> this means 3 points for the morphology and 3 points for the PLC, which makes a total of 6 points indicating the need for surgical stabilization.</p><h4>Radiographic features</h4><p>Translation or rotation spine injury is characterized by:</p><ul>
-</ul><p>Common findings include transverse process fractures and rib fractures</p><h4>Differential diagnosis</h4><p>Distraction/<a title="Chance fractures" href="/articles/chance-fracture">Chance fractures</a></p><h4>See also</h4><p><a title="Thoracolumbar injury classification and severity score (TLICS)" href="/articles/thoracolumbar-injury-classification-and-severity-score-tlics-1">Thoracolumbar injury classification and severity score (TLICS)</a></p><p><!--[if gte mso 9]><xml>- +</ul><p>Common findings include transverse process fractures and rib fractures</p><h4>Differential diagnosis</h4><p>Distraction/<a href="/articles/chance-fracture">Chance fractures</a></p><h4>See also</h4><p><a href="/articles/thoracolumbar-injury-classification-and-severity-score-tlics-1">Thoracolumbar injury classification and severity score (TLICS)</a></p><p><!--[if gte mso 9]><xml>
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