Three column concept of spinal fractures | 合法醫療器材資訊網

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The three-column concept of thoracolumbar spinal fractures (of Denis) forms the basis of a number of widely used thoracolumbar spinal fracture classification systems[1].

While the three-column concept was initially developed for classification of thoracolumbar spinal fractures, it can also be applied to the lower cervical spine 3 as the general vertebral anatomy is similar to the thoracic and lumbar vertebrae. Due to its simplicity, it is widely used in routine clinical practice and can be used in reports with the expectation that the treating clinicians will be familiar with the idea of anterior, middle and posterior columns.

The specific classification system that Francis Denis described (see below) has been superseded by more modern classifications (AO classification of thoracolumbar injuries[2] and the thoracolumbar injury classification and severity sco...