Skip to main content
. 2020 Oct 1;47(4):991–1001. doi: 10.1007/s00068-020-01505-y

Table 6.

Treatment failure

Sternal fracture Spinal fracture Treatment group Spinal treatment indication Sternal treatment failure Spinal treatment failure
1 MS-joint T3-4:A;N0 SternumCONS/SpineCONS Stable Unknown outcome Treatment refusal (increasing kyphosis)
2 Body with dislocation T4-8:B2;N0 SternumCONS/SpineCONS Unstable (treatment refusal) SecOP (secondary dislocation) Treatment refusal (increasing kyphosis)
3 Body T3:A1;T5:A1;N0 SternumCONS / SpineCONS Stable Unknown outcome
4 Body C4-C5:B2;N0 SternumCONS / SpineCONS Unstable (haloframe) SecOP (secondary dislocation)
5 Manubrium C2:A(dens);T9:A1;N0 SternumCONS / SpineCONS Stable SecOP (secondary dislocation of dens)
6 Manubrium and body T3-T6:B2;T4:A1;T5:A3;N0 SternumCONS / SpineCONS Unstable (psychiatric illness) SecOP (secondary dislocation)
7 Body T3-T5:B2;T4:A2;N0 SternumCONS / SpineOP Unstable SecOP (secondary dislocation) ReOP (secondary dislocation)
8 MS-joint and body L2:B1;N0 SternumCONS / SpineOP Unstable SurgInd (secondary dislocation and NU)
9 Body T6-T7:B2;T7:A2;N0 SternumCONS / SpineOP Unstable ReOP (non-union)
10 Manubrium C2:A;T4-T6:B2;T4:A1;T5:A3;N3 SternumCONS / SpineOP Unstable SecOP (secondary dislocation of dens)

MS-joint manubriosternal joint, CONS conservative treatment, OP operative treatment, SecOP secondary operation, SurgInd surgical indication, ReOP re-operation, NU non-union