Is there an association with spino-pelvic relationships and clinical outcome of type a thoracic and lumbar fractures treated non-surgically?

Andrei Fernandes Joaquim*, Sérgio Augusto Rodrigues, Felipe Soares da Silva, Otávio Turolo da silva, Enrico Ghizoni, Helder Tedeschi, Gregory D. Schroeder, Alexander R. Vaccaro, Alpesh A. Patel

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)371-376
Number of pages6
JournalInternational Journal of Spine Surgery
Volume12
Issue number3
DOIs
StatePublished - Jun 1 2018

Keywords

  • Burst
  • Compression
  • Conservative treatment
  • Fractures
  • ODI
  • Outcome
  • SF-36
  • Sagittal balance
  • Spinopelvic relationships
  • TLICS
  • Thoracolumbar
  • VAS

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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    Joaquim, A. F., Rodrigues, S. A., da Silva, F. S., da silva, O. T., Ghizoni, E., Tedeschi, H., Schroeder, G. D., Vaccaro, A. R., & Patel, A. A. (2018). Is there an association with spino-pelvic relationships and clinical outcome of type a thoracic and lumbar fractures treated non-surgically? International Journal of Spine Surgery, 12(3), 371-376. https://doi.org/10.14444/5043