TY - JOUR
T1 - Is there an association with spino-pelvic relationships and clinical outcome of type a thoracic and lumbar fractures treated non-surgically?
AU - Joaquim, Andrei Fernandes
AU - Rodrigues, Sérgio Augusto
AU - da Silva, Felipe Soares
AU - da silva, Otávio Turolo
AU - Ghizoni, Enrico
AU - Tedeschi, Helder
AU - Schroeder, Gregory D.
AU - Vaccaro, Alexander R.
AU - Patel, Alpesh A.
N1 - Publisher Copyright:
© 2017 ISASS.
PY - 2018/6/1
Y1 - 2018/6/1
N2 - 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.
AB - 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.
KW - Burst
KW - Compression
KW - Conservative treatment
KW - Fractures
KW - ODI
KW - Outcome
KW - SF-36
KW - Sagittal balance
KW - Spinopelvic relationships
KW - TLICS
KW - Thoracolumbar
KW - VAS
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U2 - 10.14444/5043
DO - 10.14444/5043
M3 - Article
C2 - 30276094
AN - SCOPUS:85052097077
VL - 12
SP - 371
EP - 376
JO - International Journal of Spine Surgery
JF - International Journal of Spine Surgery
SN - 2211-4599
IS - 3
ER -