Management of Fractures of the Thoracolumbar Spine―A Narrative Review

Journal of Clinical Medicine 2026 Open access

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Authors: Sven Y. Vetter, Andreas Badke, Sandra Buchmann, Stefan Hauck, Peter Heumann, Frank Kandziora, Philipp Kobbe, Sebastian Krüger, Christiane Kruppa, Bernhard W. Ullrich, Philipp Schleicher
DOI: 10.3390/jcm15031008
Cited by: 5
References: 49

Abstract

The thoracolumbar region affects 60 to 80% of the 4 million spine fractures occurring annually, making them a global health threat. Management has evolved from early fixation systems to minimally invasive techniques, reducing muscle trauma and recovery time. Fractures are classified into compression, distraction, and translation types, with stability guiding treatment decisions. Surgical options include open and minimally invasive procedures, each with benefits and drawbacks. The choice of treatment depends on fracture type, neurological deficits, and patient factors. Advances in technology continue to improve outcomes, but further research is needed to determine optimal management strategies.

Fields of Study & Subjects

Spinal Fractures and Fixation Techniques Management of metastatic bone disease Cervical and Thoracic Myelopathy

Publication details

Journal / source
Journal of Clinical Medicine
Publisher
MDPI AG
Volume
15
Issue
3
Pages
1008–1008
Publication date
27 January 2026
Language
EN