Holdsworth Fracture

The Holdsworth fracture is an unstable fracture dislocation of the thoraco lumbar junction of the spine, first described by Frank Holdsworth in 1963. The injury consists of a fracture through a vertebral body, rupture of the posterior ligaments and fracture/dislocations of the articular processes (see figure below). Sir Frank Holdsworth described the mechanism of this injury as a flexion-rotation injury, and stated that the unstable fracture dislocation should be treated by fusion of the two affected vertebrae.

  • Holdsworth Fracture
Holdsworth Fracture

  • Holdsworth FW. Fractures, dislocations, and fracture-dislocations of the spine. J Bone Joint Surg Br (February 1963, 45-B (1): 6–20.

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