Spinal Trauma.
Osteoporotic Fracture. AO Classification.
AO - DGOU Classification of OF.
DGOU = German Society of Orthopaedics. Dr Klaus SCHAKE
Reviewed 700 OFs and found the standard classifications as unhelpful as:
- Most Common were A1 and A3, but not quite fitting.
- B and C were uncommon.
- Neuro deficits were rare. (2%)
- But, progressive kyphosis was common esp with T-score <-3.
And go onto point out that:
- As well as fracture morphology being different from healthy bone,
- Morphology of the fractures seen in these patients does not tell whether they did or did not have a prior trauma.
- Fractures change over time leading to potential instability.
- Treatment more a function of prior function and co-morbidities than the fracture itself.
The OF classification is based on simple morphology from plain film, CT and/or MR and goes from 1 to 5 relating to greater instability.
"use in all patients with osteoporosis or suspected osteoporosis in all situations"
Osteoporosis defined as < -2.5 on T-score.
Thoracolumbar Injury. AO Classification.
Upper Cervical Fracture. AO Classification.
Subaxial Cervical Fracture. AO Classification.
Sacral Fractures AO Classification.
NB: The C0 fracture which is basically 99% of them.
