Treatment and Outcome of Osteoporotic Thoracolumbar Vertebral Fractures With Anterior or Posterior Tension Band Failure (OF 5) - Short-Term Results From the Prospective EOFTT Multicenter Study

被引:5
作者
Osterhoff, Georg [1 ]
Schenk, Philipp [2 ]
Katscher, Sebastian J. [3 ]
Schnake, Klaus [4 ,5 ]
Baeumlein, Martin [6 ]
Zimmermann, Volker [7 ]
Schmeiser, Gregor A. [8 ]
Scherer, Michael [9 ]
Mueller, Michael [10 ]
Sprengel, Kai [11 ]
Liepold, Katja [12 ]
Schramm, Simon [13 ]
Baron, Christopher [14 ]
Siekmann, Holger [15 ]
Schwarz, Falko [16 ]
Franck, Alexander J. [17 ]
Scheyerer, Max [18 ]
Spiegl, Ulrich J. A. [1 ]
Ullrich, Bernhard [19 ,20 ]
机构
[1] Univ Hosp Leipzig, Dept Orthopaed Trauma & Plast Surg, Leipzig, Germany
[2] BG Klinikum Bergmannstrost Halle, Dept Sci Res & Educ, Halle, Germany
[3] Sana Klinikum Borna, Interdisciplinary Ctr Spine & Neurotrauma, Borna, Germany
[4] Malteser Waldkrankenhaus St Marien, Ctr Spinal & Scoliosis Surg, Erlangen, Germany
[5] Paracelsus Private Med Univ Nuremberg, Dept Orthoped & Traumatol, Nurnberg, Germany
[6] Univ Hosp Giessen & Marburg GmbH, Ctr Orthopaed & Trauma Surg, Marburg, Germany
[7] Klinikum Traunstein, Dept Trauma & Orthoped Surg, Traunstein, Germany
[8] Schoen Klin Hamburg Eilbek, Dept Spine Surg, Hamburg, Germany
[9] Tech Univ Munich, Lehrkorper Med Fak, Med Fak TUM, Arabella Klin, Munich, Germany
[10] Univ Med Ctr Schleswig Holstein, Dept Orthoped & Trauma Surg, Campus Kiel, Kiel, Germany
[11] Univ Hosp Zurich, Dept Trauma, Zurich, Switzerland
[12] Univ Jena, Teaching Hosp, Dept Spine Surg, Thuringia Clin Georgius Agr Saalfeld, Saalfeld, Germany
[13] Univ Hosp Erlangen, Dept Trauma Surg, Erlangen, Germany
[14] BG Trauma Ctr, Spinal Cord Unit, Tubingen, Germany
[15] AMEOS Clin Halberstadt, Clin Trauma Hand & Reconstruct Surg, Halberstadt, Germany
[16] Friedrich Schiller Univ, Jena Univ Hosp, Dept Neurosurg, Jena, Germany
[17] Regiomed Klinikum Coburg, Dept Orthopaed & Trauma Surg, Coburg, Germany
[18] Univ Hosp, Dept Orthoped & Trauma Surg, Moorenstr 5, D-40225 Dusseldorf, Germany
[19] Univ Hosp Jena, Dept Trauma Hand & Reconstruct Surg, Jena, Germany
[20] BG Klinikum Bergmannstrost Halle, Dept Trauma & Reconstruct Surg, Halle, Germany
关键词
osteoporosis; spine; vertebral fracture; operative; OF classification; GERMAN SOCIETY; SPINE SECTION; RECOMMENDATIONS; ORTHOPEDICS;
D O I
10.1177/21925682221127956
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design Subgroup analysis of a multicenter prospective cohort study Objective To analyse surgical strategies applied to osteoporotic thoracolumbar osteoporotic fracture (OF) 5 injuries with anterior or posterior tension band failure and to assess related complications and clinical outcome. Methods A multicenter prospective cohort study (EOFTT) was conducted at 17 spine centers including 518 consecutive patients who were treated for an osteoporotic vertebral fracture (OVF). For the present study, only patients with OF 5 fractures were analysed. Outcome parameters were complications, Visual Analogue Scale (VAS), Oswestry Disability Questionnaire (ODI), Timed Up & Go test (TUG), EQ-5D 5L, and Barthel Index. Results In total, 19 patients (78 +/- 7 years, 13 female) were analysed. Operative treatment consisted of long-segment posterior instrumentation in 9 cases and short-segment posterior instrumentation in 10 cases. Pedicle screws were augmented in 68 %, augmentation of the fractured vertebra was performed in 42%, and additional anterior reconstruction was done in 21 %. Two patients (11 %) received short-segment posterior instrumentation without either anterior reconstruction or cement-augmentation of the fractured vertebra. No surgical or major complications occurred, but general postoperative complications were observed in 45%. At a follow-up of mean 20 +/- 10 weeks (range, 12 to 48 weeks), patients showed significant improvements in all functional outcome parameters. Conclusions In this analysis of patients with type OF 5 fractures, surgical stabilization was the treatment of choice and lead to significant short-term improvement in terms of functional outcome and quality of life despite a high general complication rate.
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收藏
页码:44S / 51S
页数:8
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