STUDY DESIGN: Review of the articles. OBJECTIVE: The objective of this study was to review all articles related to @entity1344 to determine a consensus statement for a contemporary, practical definition applicable to thoracolumbar injuries. SUMMARY OF BACKGROUND DATA: Traumatic @entity174 of the thoracolumbar spine are common. These injuries can result in @entity51 , disability, @entity85 , @entity158 , and represent a great economic burden to society. The determination of @entity1344 is an important task for spine surgeons, as treatment strategies rely heavily on this assessment. However, a clinically applicable definition of spinal stability remains elusive. MATERIALS AND METHODS: A review of the Medline database between 1930 and 2014 was performed limited to papers in English. @entity1344 , thoracolumbar, and spinal stability were used as search terms. Case reports were excluded. We reviewed listed references from pertinent search results and located relevant manuscripts from these lists as well. RESULTS: The search produced a total of 694 published articles. Twenty-five articles were eligible after abstract screening and underwent full review. A definition for @entity1344 was described in only 4 of them. Definitions were primarily based on biomechanical and classification studies. No definitive parameters were outlined to define stability. CONCLUSIONS: Thirty-six years after White and Panjabi's original definition of instability, and many classification schemes later, there remains no practical and meaningful definition for @entity1344 in thoracolumbar @entity130 . Surgeon expertise and experience remains an important factor in stability determination. We propose that, at an initial assessment, a distinction should be made between immediate and delayed instability. This designation should better guide surgeons in decision making and @entity1 counseling.

Instability in Thoracolumbar XXXX : Is a New Definition Warranted?

@entity1 :: ('9606', 'Species') :: ['patient'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficits'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1344 :: ('MESH:D043171', 'Disease') :: ['spinal instability', 'Spinal instability'] @entity85 :: ('MESH:D009140', 'Disease') :: ['deformity'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity130 :: (MESH:D014947,Disease) :: ['Trauma']
