Evaluation of Postoperative Clinical and Radiological Outcomes of Thoracolumbar Vertebral Fractures

Acar, Erdinç; Dinçer, Derya

doi:10.4274/eajem.galenos.2017.66375

Cited by 1 publication

(1 citation statement)

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“…In a previous study, differences were found in clinical and radiological results after various clinical and radiological evaluations such as VAS, ODI, sagittal index and local kyphosis angle in thoracolumbar fractures. This has been attributed to the lack of standardized clinical and radiological criteria [34]. Bouyer et al reported that although deformity correction was optimal in the postoperative radiological evaluation of patients with thoracic or lumbar fractures, the SF-36 criteria showed deterioration compared to the general population scores [35].…”

Section: Discussionmentioning

confidence: 99%

Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?

Çakmur,

Duramaz,

Çakmur

et al. 2024

Eur Spine J

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Purpose The aim of the study was to determine the effect of trauma etiology on the management, functional outcomes and psychiatric characteristics of suicide jumpers and patients who accidentally fall from height. Methods 89 patients (48 accidental falls and 41 suicidal jumpers) who had undergone spinal surgery were included in the study. The patients were evaluated clinically and radiologically. Visual Analog Scale (VAS), Roland Morris Disability Questionnaire (RMDQ) and McGill Pain Questionnaire (MPQ) were performed for functional evaluation. BECK hopelessness scale (BHS), BECK depression inventory (BDI), and SF-36 scales were used for the psychiatric evaluation. All outcomes were compared between suicidal jumpers and accidental falls. Results The RMDQ and ODI questionnaires stated a higher disability in the suicide jump group (p = 0.001 and p = 0.029, respectively). However, the VAS and MPQ questionnaires did not differ in significance between groups (p = 0.182 and p = 0.306, respectively). The SF-36 scale showed that physical function, role emotional, vitality and mental health subdomains were worse in the suicide jump group (p = 0.001, p = 0.029, p = 0.014 and p = 0.030, respectively). BDI scores were significantly higher in the suicide jump group while no difference was observed between the groups in terms of BSH (p = 0.017 and p = 0.940, respectively). Conclusion Psychiatric disorders are more common in patients in the suicidal jumpers. The presence of underlying psychiatric problems adversely affects the postoperative functional outcomes of patients with surgically treated spinal fractures. A multidisciplinary approach together with raising awareness in this way can improve the clinical outcomes after orthopedic treatment, even if there is physical disability.

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Section: Discussionmentioning

confidence: 99%

Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?

Çakmur,

Duramaz,

Çakmur

et al. 2024

Eur Spine J

View full text Add to dashboard Cite

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Evaluation of Postoperative Clinical and Radiological Outcomes of Thoracolumbar Vertebral Fractures

Abstract: The main surgical indications for thoracolumbar vertebral fractures are the associated presence of neurological deficit and vertebral instability (6,10-14). Nevertheless, a number of issues continue to hamper the process of determining the optimal

Cited by 1 publication

References 36 publications

Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?

Do the management and functional outcomes of the surgically treated spinal fractures change in suicidal jumpers?

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