A comprehensive classification of thoracic and lumbar injuries

By F. Magerl, M. Aebi, S. Gertzbein, J. Harms, S. Nazarian. European spine journal, 2005

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A New Classification of Thoracolumbar Injuries: The Importance of Injury Morphology, the Integrity of the Posterior Ligamentous Complex, and Neurologic Status (2005, background): “Hence, failure from torsion and/or shear requires considerably more destruction of normal anatomy and imparts considerably more instability than failure from compression.(9) Rotational injuries are recognized by horizontal separation of the spinous processes or acutely altered alignment of the pedic”