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Displacement/
Dislocation
YES C Translation
NO
NO
Vertebral Both
YES A4 Complete burst
body YES endplates
fracture involved
NO A3 Incomplete burst
Posterior wall YES
involvement
NO Both
YES A2 Split/Pincer
NO endplates
involved
NO A1 Wedge/Impaction
Vertebral
process YES A0 Insignificant injury
fracture
NO No injury
AOSpine Subaxial Classification System
Type A. Type B. Type C.
Compression Injuries Distraction Injuries Translation Injuries
A0. Minor, nonstructural B1. Posterior tension band C. Translational injury in any axis-
fractures injury (bony) displacement or translation
of one vertebral body relative
to another in any direction
BL.
A4. Complete burst Bilateral Injuries F4. Pathologic subluxation or
perched/dislocated facet
BL. Bilateral injury
Contact: research@aospine.org
Further information: www.aospine.org/classification