Biomechanics of thoracolumbar burst fractures: Methods of induction and treatments

Shayan Fakurnejad, Justin K. Scheer, Avinash G. Patwardhan, Robert M. Havey, Leonard I. Voronov, Zachary Adam Smith*

*Corresponding author for this work

Research output: Contribution to journalReview article

14 Scopus citations


Much controversy exists regarding the mechanism of burst fracture (BF) induction and the proper techniques to treat such fractures. As such, there is a great need for validated preclinical models in which to study these injuries. In this study, an electronic search of the PubMed database (MEDLINE) was performed and the results were filtered to obtain only studies with a biomechanical focus. Forty five biomechanical studies were obtained, from which four distinct methods of injury induction were identified. Twenty one (46.7%) involved clinically relevant techniques for treating BF, involving anterior, posterior, circumferential, or a combination of approaches. Fifteen (71.4%) of the treatment studies used unstable spine specimens that do not fit the classical characteristics of BF. Given the consistent use of BF models that do not adhere to classical definitions, the clinical value of ex vivo induction is uncertain.

Original languageEnglish (US)
Pages (from-to)2059-2064
Number of pages6
JournalJournal of Clinical Neuroscience
Issue number12
StatePublished - Dec 1 2014


  • Biomechanics
  • Burst fracture
  • Spine
  • Thoracolumbar

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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    Fakurnejad, S., Scheer, J. K., Patwardhan, A. G., Havey, R. M., Voronov, L. I., & Smith, Z. A. (2014). Biomechanics of thoracolumbar burst fractures: Methods of induction and treatments. Journal of Clinical Neuroscience, 21(12), 2059-2064.