Fratura toracolombar do tipo explosão: correlação entre cifose e função após tratamento conservador

Avanzi, Osmar; Meves, Robert; Caffaro, Maria Fernanda Silber; Hollanda, João Paris Buarque de; Queiroz, Marcelo Cavalheiro de

doi:10.1590/s0102-36162009000500007

Cited by 7 publications

(10 citation statements)

References 23 publications

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“…The average progression of the deformity found in the study by Avanzi et al, 20 which assessed 17 patients for 34.7 months, ranging from 15-118 months, was 1.8°. In their retrospective study, Tropiano et al 21 assessed 41 patients treated conservatively with hyperextension plaster cast, and reported mean initial kyphosis of 3.4° and mean final kyphosis of 4.6°, showing a mean increase in the deformity of 1.2°.…”

Section: Discussionmentioning

confidence: 80%

Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment

et al. 2015

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<sec><title>OBJECTIVE:</title> To evaluate the correlation between kyphosis due to burst fractures of thoracic and lumbar spine and clinical outcome in patients undergoing conservative or surgical treatment.</sec><sec><title>METHODS:</title> A retrospective, cross-sectional study was conducted with 29 patients with thoracolumbar burst fractures treated by the Spine Group in a trauma reference hospital between the years 2002 and 2011. Patients were followed-up as outpatients for a minimum of 24 months. All cases were clinically evaluated by Oswestry and SF-36 quality of life questionnaires and the visual analogue scale (VAS) of pain. They were also evaluated by X-ray examinations and CT scans of the lumbosacral spine at the time of hospitalization and subsequently as outpatients by Cobb method for measuring the degree of kyphosis.</sec><sec><title>RESULTS:</title> There was no statistically significant correlation between the degree of initial kyphosis and clinical outcome measured by VAS and by most of the SF-36 domains in both patients treated conservatively and the surgically treated. The Oswestry questionnaire showed benefits for patients who received conservative treatment (p=0.047) compared to those surgically treated (p=0.335). The analysis of difference between initial and final kyphosis and final kyphosis alone in relation to clinical outcome showed no statistical correlation in any of the scores used.</sec><sec><title>CONCLUSION:</title> The clinical outcome of treatment of the thoracic and lumbar burst fractures was not influenced by a greater or lesser degree of initial or residual kyphosis, regardless of the type of treatment.</sec>

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Section: Discussionmentioning

confidence: 80%

Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment

et al. 2015

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“…Observational studies on neurologically intact patients have not shown any differences in the long-term functional results among patients with this type of lesion, independent of whether they underwent surgical treatment or not (2,3,10) . However, the surgical method is generally proposed for patients whose fractures have led to loss of 50% of the height of the vertebral body and kyphosis greater than 30°, because of inadequate functional results.…”

Section: Discussionmentioning

confidence: 82%

Fratura toracolombar do tipo explosão: correlação entre a cifose residual e função após o tratamento cirúrgico

Sadatsune¹,

Costa²,

Caffaro³

et al. 2012

Rev. bras. ortop.

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Objective: To assess the correlation between post-traumatic kyphosis in patients with thoracolumbar burst fractures undergoing surgical treatment and the functional result from treatment. Methods: A retrospective study was conducted on 27 patients with thoracolumbar burst fractures according to Denis and A3 to Margerl's classification who met the inclusion criteria for this sample and underwent surgical treatment with a minimum follow-up of six months. The patients' mean age was 46.96, with a range from 16 to 73 years. The treatment outcome was evaluated based on applying the

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“…Observational studies in patients with burst fractures of the thoracic and lumbar spine and normal neurological function have not shown any differences in the functional results in the long term, independently of whether they received surgical or conservative treatment. [18][19][20] The authors that defend surgical treatment do so based on the good results obtained, shorter hospitalization times, early mobility, better correction of kyphosis, and the possibility of direct decompression of the vertebral canal, which would prevent possible subsequent neurological deterioration. [21][22][23][24] In a prospective, randomized study, Wood et al, 25 compared the results of surgical treatment and conservative treatment in 47 patients with thoracolumbar burst fractures (24 treated surgically and 23 with a brace or plaster cast).…”

Section: Discussionmentioning

confidence: 99%

Thoracolumbar Burst Fracture: Structural Changes and Clinical Outcome of Treatment

et al. 2016

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Objective: To evaluate the correlation between structural changes in burst fractures of thoracic and lumbar spine with clinical outcome of the treatment. Methods: A retrospective study in 25 patients with fractures of thoracic and lumbar spine burst fractures without neurological deficit. Eleven patients underwent conservative treatment and for the remaining the treatment was surgical. All patients were followed up for at least 24 months. The cases were evaluated by a protocol that included: posttraumatic measurement of kyphosis, vertebral body collapse and narrowing of the spinal canal, the visual analog scale of pain, and the quality of life questionnaire SF-36 at the follow-up. For statistical analysis, the significance level was 5% and the software SPSS 18.0 was used. Results: No statistically significant difference was observed when comparing the clinical outcomes of one treatment over another. Similarly, there was no statistically significant correlation between kyphosis and post-traumatic narrowing of the spinal canal with clinical worsening in the follow-up, regardless of the treatment used. We found a positive correlation (p<0.05) between initial collapse and SF-36 domains in both groups (operated and non-operated). Conclusion: There was no significant superiority of one treatment over the other, and no correlation was found between kyphosis and spinal canal narrowing in burst fractures of the thoracic and lumbar spine without neurological deficit. However, there was correlation between initial collapse and clinical outcome in some domains of the SF-36 questionnaire.

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Fratura toracolombar do tipo explosão: correlação entre cifose e função após tratamento conservador

Cited by 7 publications

References 23 publications

Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment

Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment

Fratura toracolombar do tipo explosão: correlação entre a cifose residual e função após o tratamento cirúrgico

Thoracolumbar Burst Fracture: Structural Changes and Clinical Outcome of Treatment

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