Classification of Osteoporotic Thoracolumbar Spine Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU)

被引：138

作者：

Schnake, Klaus John ^{[1
]}

Blattert, Thomas R. ^{[2
]}

Hahn, Patrick ^{[3
]}

Franck, Alexander ^{[4
]}

Hartmann, Frank ^{[5
]}

Ullrich, Bernhard ^{[6
]}

Verheyden, Akhil ^{[7
]}

Moerk, Sven ^{[8
]}

Zimmermann, Volker ^{[9
]}

Gonschorek, Oliver ^{[10
]}

Mueller, Michael ^{[11
]}

Katscher, Sebastian ^{[12
]}

El Saman, Andre ^{[13
]}

Pajenda, Gholam ^{[14
]}

Morrison, Robert ^{[15
]}

Schinkel, Christian ^{[16
]}

Piltz, Stefan ^{[17
]}

Partenheimer, Axel ^{[18
]}

Mueller, Christian W. ^{[19
]}

Gercek, Erol ^{[20
]}

Scherer, Michael ^{[21
]}

Bouzraki, Nabila ^{[22
]}

Kandziora, Frank ^{[23
]}

机构：

[1] Schon Klin Nurnberg Furth, Furth, Germany

[2] Schwarzach Orthopaed Clin, Schwarzach, Germany

[3] St Anna Hosp, Zentrum Orthopidie & Unfallchirurg, Herne, Germany

[4] Klinkum Coburg, Coburg, Germany

[5] Zentrum Unfallchirurg & Orthopadie, Koblenz, Germany

[6] BG Hosp Bergmannstrost, Klin Unfall & Wiederherstellungschirurg, Halle, Germany

[7] Ortenauklinikum, Klin Unfall Orthopad & Wirbelsaulenchirurg, Lahr, Germany

[8] St Anna Krankenhaus Sulzbach Rosenberg, Suzbach Rosenberg, Germany

[9] Klinikum Traunstein, Zentrum Hand & Wirbelsaulenchirurg, Traunstein, Germany

[10] BGU Trauma Ctr Murnau, Murnau, Germany

[11] Univ Klinikum Schleswig Holstein, Klin Orthopadie & Unfallchirurg, Kiel, Germany

[12] Sana Klinikum Borna, Interdisziplinares Wirbelsaulenzentrum, Borna, Germany

[13] Univ Hosp Frankfurt, Frankfurt, Germany

[14] Med Univ Wien, Univ Klin Unfallchirurg, Vienna, Austria

[15] Klinikum Ingolstadt, Zentrum Orthopadie & Unfallchirurg, Ingolstadt, Germany

[16] Klinikum Memmingen, Klin Unfallchirurg Handchirurg & Orthopadie, Memmingen, Germany

[17] Klinikum Coburg, Klin Orthopadie & Unfallchirurg, Coburg, Germany

[18] Spine & Sport, Hannover, Germany

[19] Hannover Med Sch, Hannover, Germany

[20] Gemeinschaftsklinikum Mittelrhein, Zentrum Unfallchirurg & Orthopadie, Koblenz, Germany

[21] HELIOS Amper Klinikum Dachau, Orthoped & Trauma Surg, Dachau, Germany

[22] Klinikum Hanau GmbH, Hanau, Germany

[23] BGU Hosp, Frankfurt, Germany

来源：

GLOBAL SPINE JOURNAL | 2018年 / 8卷

关键词：

osteoporotic vertebral fractures; thoracolumbar; classification; reliability; VERTEBRAL FRACTURE;

D O I：

10.1177/2192568217717972

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design: Expert opinion. Objectives: Osteoporotic vertebral fractures are of increasing medical importance. For an adequate treatment strategy, an easy and reliable classification is needed. Methods: The working group "Osteoporotic Fractures" of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) has developed a classification system (OF classification) for osteoporotic thoracolumbar fractures. The consensus decision followed an established pathway including review of the current literature. Results: The OF classification consists of 5 groups: OF 1, no vertebral deformation (vertebral edema); OF 2, deformation with no or minor (<1/5) involvement of the posterior wall; OF 3, deformation with distinct involvement (>1/5) of the posterior wall; OF 4, loss of integrity of the vertebral frame or vertebral body collapse or pincer-type fracture; OF 5, injuries with distraction or rotation. The interobserver reliability was substantial (kappa = .63). Conclusions: The proposed OF classification is easy to use and provides superior clinical differentiation of the typical osteoporotic fracture morphologies.

引用

页码：46S / 49S

页数：4

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