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Owing to their frequency and possible consequences and considering
the fact they frequently affect young people, trauma tic lesions of
the thoraco lumbar spine represent a special point of interest
within the field of Neurotraumatology. Traffic accidents are the
commonest cause, which accounts for the high peak of occurrence
between 15 and 24 years of age. It is also worth noting that
according to published series nearly 50% ofthe cases affect the
thoraco-lumbar junction. From an anatomical point of view, we must
note the severity of thoracic spinal cord lesions especially of the
thoraco-lumbar junction and of the lumbar region and be able to
associate injuries ofthe conus medullaris and of the ca uda equina
where there is a possibility of neurological recovery. Clinical
evaluation is not always easy, but remains the basis for diagnosis
and prognosis. The neurological classification proposed by FRANKEL
et al. in 1969 and used at STOKE MANDEVILLE Hospital seems to
retain its value. A more sophisticated study of medullary evoked
potentials, as described by TsUBOKAWA can allow a more precise
localisation and appreciation of the extent ofthe lesion as well as
a better evaluation ofthe prognosis and ofthe evaluation of
treatment in the acute phase. The neuro-radiological study should
include standard views ofthe whole of the spine with
antero-posterior and lateral tomograms of the fractured or luxated
area. At present, the unquestionable contribution of the CT.
The Committee of Neurotraumatology of the World Federation of
Neurosurgical Societies decided to elaborate a Glossary of Neuro-
traumatology, and for this purpose appointed a subgroup of members
of this Committee, headed by Dr. E. S. Gurdjian, whose report
follows this preface. The main reason for the Committee's decision
was the hope that the diffusion of the Glossary through "Acta
Neurochirurgica" may bring about a better understanding of
neurotraumatological terminology on a worldwide scale. The Glossary
should facilitate the classification and the comparison of
traumatic lesions of the Nervous System. It will consequently be
easier to compile statistics and correctly interpret the
informations thus obtained. The very commendable initiative of the
Congress of Neurological Surgeons in revising the terminology of
head injuries and in publishing this work in Vol. 12 (1966) of
"Clinical Neurosurgery" constitutes an important contribution. In
1977 the Glossary now presented endeav- ours to complete and bring
up to date the definitions of anatomical or physiological
modifications in the neurotraumatological field. We wish to express
our thanks to Dr. Gurdjian and to the other members of the
Neurotraumatological Committee who were responsible for the
elaboration of this Glossary and whose efforts to standardise, as
much as possible, the language used by scientists of different
nationalities, have resulted in a better understanding between
neurosurgeons.
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