Zusammenfassung
Klassifikationssysteme können das Verständnis von Erkrankungen fördern und das Management verbessern. Beim Wirbelsäulentrauma, besonders beim thorakolumbalen, sind die Konzepte immer noch disparat: eher dekriptive, begriffsbasierte Systemen einerseits und nach Schweregrad einteilende Score-Systeme andererseits. Bei der Versorgung von thorakolumbalen Traumata sind wir als „Wirbelsäulen-Community“ vielleicht schon weiter als andere Fachrichtungen auf dem Weg zu einem weltweit akzeptierten, „universellen“ Klassifikationssystem. Doch noch ist viel zu tun, und wir müssen alle für die Evaluierung und Implementierung innovativer Ansätze offen sein.
Abstract
Classification systems can be helpful in our understanding and management of disease states. In spine trauma and thoracolumbar injuries specifically, there is still a fragmentation of concepts between more descriptive term-based and severity-based scoring systems. In thoracolumbar injury care we as a spine community are perhaps closer than other subspecialty areas in arriving at a globally acceptable“universal” classification system; however, more work needs to be done and all of us have to be willing to open our minds in evaluating and adopting a new approach.
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Bellabarba, C., Zhang, F. & Wagner, T. Kontroversen um die Einteilung thorakolumbaler Frakturen. Unfallchirurg 115, 1056–1060 (2012). https://doi.org/10.1007/s00113-012-2306-9
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DOI: https://doi.org/10.1007/s00113-012-2306-9