{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T02:58:22Z","timestamp":1783479502404,"version":"3.55.0"},"reference-count":32,"publisher":"SLACK, Inc.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:p>The AO-Magerl classification is widely accepted for the appropriate management of patients with thoracolumbar burst fractures; however, it fails to assess the ability of the injured spine to withstand compressive loading and cannot predict instrumentation failure after short-segment posterior fixation. The load-sharing classification depends on the degree of comminution and apposition of bony fragments.<\/jats:p>\n          <jats:p>We retrospectively classified according to both classifications 100 consecutive patients with 1-level thoracolumbar burst fractures treated nonoperatively or operatively within a 7-year period. Sixty neurologically intact patients (60%) were treated nonoperatively, 15 (15%) had short posterior instrumentation, 15 (15%) had short anterior instrumentation, and 10 (10%) had combined short posterior instrumentation and anterior strut grafting. Twenty-five of the 40 (60%) surgically treated patients had neurological impairment on admission. Clinical outcome was assessed using a pain and working ability scale. Mean follow-up was 52 months (range, 24\u201370 months). Function was satisfactory in 55 (92%) nonoperatively treated patients and in 33 (83%) surgically treated patients. Neurological improvement by American Spinal Injury Association (ASIA) grade was observed in patients with incomplete paraplegia (70% of neurologically impaired patients) who were treated operatively.<\/jats:p>\n          <jats:p>The combination of AO-Magerl and load-sharing classifications provides for accurate selection of treatment, surgical approach, and length of instrumentation, and can guide the decision for additional anterior surgery.<\/jats:p>","DOI":"10.3928\/01477447-20100129-07","type":"journal-article","created":{"date-parts":[[2010,3,29]],"date-time":"2010-03-29T11:45:08Z","timestamp":1269863108000},"page":"158-163","source":"Crossref","is-referenced-by-count":4,"title":["Combination of the AO-Magerl and Load-Sharing Classifications for the Management of Thoracolumbar Burst Fractures"],"prefix":"10.3928","volume":"33","author":[{"given":"Pavlos","family":"Katonis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dritan","family":"Pasku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalliopi","family":"Alpantaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas F.","family":"Mavrogenis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Demetrios S.","family":"Korres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George S.","family":"Sapkas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panayiotis J.","family":"Papagelopoulos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","first-page":"27","article-title":"Treatment of thoracolumbar dislocation and fractures with paraplegia","volume":"112","author":"Bedbrook GM","year":"1975","unstructured":"Bedbrook GM. Treatment of thoracolumbar dislocation and fractures with paraplegia. Clin Orthop Relat Res. 1975; (112):27\u201343.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198705000-00029"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198410000-00015"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199911150-00011"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-004-0740-2"},{"issue":"3","key":"e_1_3_1_7_2","first-page":"279","article-title":"Functional outcome of burst fractures of the thoracolumbar spine managed non-operatively, with early ambulation, evaluated using the load sharing classification","volume":"68","author":"Aligizakis A","year":"2002","unstructured":"Aligizakis A, Katonis P, Stergiopoulos K, Galanakis I, Karabekios S, Hadjipavlou A. Functional outcome of burst fractures of the thoracolumbar spine managed non-operatively, with early ambulation, evaluated using the load sharing classification. Acta Orthop Belg. 2002; 68(3):279\u2013287.","journal-title":"Acta Orthop Belg"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.09.009"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199306150-00003"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200105010-00010"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199902150-00024"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.BRS.0000090834.36061.DD"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.31B3.376"},{"key":"e_1_3_1_14_2","doi-asserted-by":"crossref","unstructured":"Ferguson RL Allen BL Jr. A mechanistic classification of thoracolumbar spine fractures. 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Traumatic kyphosis of the thoracolumbar spine. 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