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Thoracolumbar Spine Flexion‐Distraction Injury

Three patients with flexion-distraction injuries of the thoracolumbar spine are used to illustrate the pathomechanics of this injury and appropriate treatment for selected patients. This injury is particularly associated with the use of seat belts in automobile accidents. The variable nature of joint disruption, fracture, and ligamentous injury is illustrated and redefined from previous studies in the literature. Associated injuries are common and must be taken into consideration. The indications for surgical treatment and specific details about type of fixation are suggested.