Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically?
| Autor: | Helder Tedeschi, Andrei Fernandes Joaquim, Alpesh A. Patel, Felipe Soares da Silva, Alexander R. Vaccaro, Gregory D. Schroeder, Sergio Augusto Rodrigues, Otávio Turolo da Silva, Enrico Ghizoni |
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| Přispěvatelé: | Universidade Estadual de Campinas (UNICAMP), Universidade Estadual Paulista (Unesp), The Rothman Institute at Thomas Jefferson University, Northwest University |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
SF-36 Visual analogue scale Radiography ODI Burst 03 medical and health sciences 0302 clinical medicine Lumbar Thoracolumbar Pairwise sequence alignment medicine Sagittal alignment Orthopedics and Sports Medicine Lumbar Spine Outcome 030222 orthopedics business.industry Compression Physical health TLICS Surgery Oswestry Disability Index Spinopelvic relationships VAS business Fractures Conservative treatment Sagittal balance 030217 neurology & neurosurgery |
| Zdroj: | Scopus Repositório Institucional da UNESP Universidade Estadual Paulista (UNESP) instacron:UNESP |
| ISSN: | 2211-4599 |
| DOI: | 10.14444/5043 |
| Popis: | Made available in DSpace on 2018-12-11T16:55:02Z (GMT). No. of bitstreams: 0 Previous issue date: 2018-06-01 Background: The objective was to evaluate if there is an association of the spino-pelvic relationships and the global spinal alignment with the outcome of AO type A injuries treated nonsurgically. Methods: This is a retrospective case series. Patients treated nonsurgically for AOSpine type A fractures (T1-L5) with at least 1 year follow-up identified. A standing antero-posterior and lateral 36-inch radiographs and measures of spino-pelvic relationships and sagittal alignment were obtained, as well as clinical assessment using the visual analog scale, the Short-Form 36 (SF-36) questionnaire, the Oswestry Disability Index (ODI), and labor status. Results: Twenty-two patients with 33 fractures were included (L1 was the most injured level with 18.2%). There were 17 men (77.2%) and the mean age was 47.1 years. Follow-up ranged from 12 to 60 months (mean of 27.8 months). There were 22 type A1 (66.7%), 3 type A2 (9%), 6 type A3 (18%), and 2 type A4 (6%) fractures. The ODI ranged from 4% to 58%, with a mean of 24.4%. The SF-36 physical health score ranged from 23 to 82.25 (mean 49.59), and the mental health score ranged from 14.75 to 94.25 (mean 63.28). No association was identified between the spino-pelvic measurements, global alignment, and patient-reported outcomes. Conclusions: Type A fractures had a clinically relevant amount of long-term disability even when surgical treatment is not required. Spino-pelvic relationships and final global spinal alignment did not associate with outcome measurements. Department of Neurology Neurosurgical Division State University of Campinas-UNICAMP Department of Bioprocess and Biotechnology State University of São Paulo-UNESP Department of Orthopaedic Surgery The Rothman Institute at Thomas Jefferson University Department of Orthopedics Northwest University Department of Bioprocess and Biotechnology State University of São Paulo-UNESP |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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