Τίτλος:
Evaluation of TLICS for thoracolumbar fractures
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Purpose: Thoracolumbar Injury Classification and Severity Score (TILCS), facilitates the communication between physicians, and guides to treatment decision with better outcome. A composite injury severity score is calculated from these characteristics stratifying patients into operative and non-operative treatment. Aim of this study is to identify the effectiveness of TLICS scoring for thoracolumbar vertebral fractures without neurological deficits and the efficacy of conservative treatment in patients with TILCS 4. Methods: 58 patients with thoracolumbar fracture were included. 38 patients with TLICS 1–3 (group A) and 20 patients with TLICS 4 (group B) treated conservatively, were evaluated with traditional two-plain radiographic examination, CT-scan and MRI. The pain and functional scales were used in the clinical evaluation. Local kyphosis angle, sagittal index and height loss percentage were measured in the radiologic evaluation. Mean follow-up period was 28 months. Post-fracture and follow-up values were compared. Functional scores and clinical outcomes of the groups were compared. Results: The mean pain (1 = worse pain, reverse-VAS) and functional scores at the final follow-up were 8.2 and 86 points, respectively (group A), 6.4 and 76 points (group B). The mean period for returning to work was 3.2 (group A) and 3.8 months (group B). Comparing the two groups did not demonstrate any statistical difference of their clinical and functional outcomes. Conclusion: The study’s results demonstrate that conservative treatment for TLICS 4 thoracolumbar fractures can be safely applied. The conservative treatment of cases scoring TLICS 4 is equally effective to those scoring ≤3. © 2015, Springer-Verlag Berlin Heidelberg.
Συγγραφείς:
Pneumaticos, S.G.
Karampinas, P.K.
Triantafilopoulos, G.
Koufos, S.
Polyzois, V.
Vlamis, J.
Περιοδικό:
European Spine Journal
Λέξεις-κλειδιά:
adult; Article; assessment of humans; body height; clinical protocol; computed tomography scanner; computer assisted tomography; conservative treatment; controlled study; disease duration; female; follow up; human; major clinical study; male; middle aged; neurologic disease; nuclear magnetic resonance imaging; nuclear magnetic resonance scanner; priority journal; spine fracture; therapy effect; thoracolumbar fracture; Thoracolumbar Injury Classification and Severity Score; traffic accident; adolescent; diagnostic imaging; evaluation study; injuries; injury scale; kyphosis; lumbar vertebra; pain measurement; pathology; procedures; prognosis; retrospective study; Spinal Fractures; thoracic vertebra; x-ray computed tomography; young adult, Adolescent; Adult; Female; Follow-Up Studies; Humans; Injury Severity Score; Kyphosis; Lumbar Vertebrae; Magnetic Resonance Imaging; Male; Middle Aged; Pain Measurement; Prognosis; Retrospective Studies; Spinal Fractures; Thoracic Vertebrae; Tomography, X-Ray Computed; Young Adult
DOI:
10.1007/s00586-015-3889-y
