TY - JOUR
TI - “Outcome of thoracolumbar compression fractures following non-operative
treatment”
AU - Soultanis, Konstantinos
AU - Thano, Andriana
AU - Soucacos, Panayotis N.
JO - INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
PY - 2021
VL - 52
TODO - 12
SP - 3685-3690
PB - Elsevier Sci Ltd, Exeter, United Kingdom
SN - null
TODO - 10.1016/j.injury.2021.05.019
TODO - Thoracolumbar Spine; Vertebral Compressive Fractures; Kyphotic
deformity; Pain; Function
TODO - Axial compressive/flexion moderate forces on the anterior spinal
elements may cause vertebral compression fractures (VCF), compromising
the anterior column of the spine, reducing vertebral body height and
leading to characteristic wedge-shaped deformity. 60% to 75% of VCFs
are located in the thoracolumbar junction (T12 - L2) due to mechanical
forces upon the transition from the relatively fixed thoracic to the
relatively mobile lumbar spine. Compression force spinal fractures vary
in literature according to the classification system in use, resulting
in controversial treatment options. Type A fracture patterns of AO
classification are eligible for non-operative treatment provided the
posterior complex is intact and there are no neurologic complications.
That includes both simple compressive and burst fractures. The aim of
this study is to investigate the long-term consequences of non-operative
treated compressive thoracolumbar fractures regarding posttraumatic
deformity, chronic back pain, and functional status. A retrospective
study of 75 patients with stable (compressive and burst type A AO)
spinal fractures of the thoracolumbar spine (T12-L2) without
neurological symptoms and treated non-operatively was conducted. Post
traumatic regional kyphosis, Visual Analogue Scale (VAS) and the
Oswestry Disability Index (ODI) were used to evaluate deformity
progression, pain and alteration of the quality of life during follow
up. There was no significant correlation between magnitude of
posttraumatic regional kyphosis, sex, pain score and disability index.
Statistically significant correlation between patients age and
disability index was revealed. (c) 2021 Published by Elsevier Ltd.
ER -