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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

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. ME...

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Autores principales: Osterhoff, Georg, Schenk, Philipp, Katscher, Sebastian, Schnake, Klaus John, Bäumlein, Martin, Zimmermann, Volker, Schmeiser, Gregor, Scherer, Michael A., Müller, Michael, Sprengel, Kai, Liepold, Katja, Schramm, Simon, Baron, Christopher, Siekmann, Holger, Schwarz, Falko, Franck, Alexander, Scheyerer, Max J., Spiegl, Ulrich J. A., Ullrich, Bernhard W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177311/
https://www.ncbi.nlm.nih.gov/pubmed/37084351
http://dx.doi.org/10.1177/21925682221127956
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author Osterhoff, Georg
Schenk, Philipp
Katscher, Sebastian
Schnake, Klaus John
Bäumlein, Martin
Zimmermann, Volker
Schmeiser, Gregor
Scherer, Michael A.
Müller, Michael
Sprengel, Kai
Liepold, Katja
Schramm, Simon
Baron, Christopher
Siekmann, Holger
Schwarz, Falko
Franck, Alexander
Scheyerer, Max J.
Spiegl, Ulrich J. A.
Ullrich, Bernhard W.
author_facet Osterhoff, Georg
Schenk, Philipp
Katscher, Sebastian
Schnake, Klaus John
Bäumlein, Martin
Zimmermann, Volker
Schmeiser, Gregor
Scherer, Michael A.
Müller, Michael
Sprengel, Kai
Liepold, Katja
Schramm, Simon
Baron, Christopher
Siekmann, Holger
Schwarz, Falko
Franck, Alexander
Scheyerer, Max J.
Spiegl, Ulrich J. A.
Ullrich, Bernhard W.
author_sort Osterhoff, Georg
collection PubMed
description 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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spelling pubmed-101773112023-05-13 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 Osterhoff, Georg Schenk, Philipp Katscher, Sebastian Schnake, Klaus John Bäumlein, Martin Zimmermann, Volker Schmeiser, Gregor Scherer, Michael A. Müller, Michael Sprengel, Kai Liepold, Katja Schramm, Simon Baron, Christopher Siekmann, Holger Schwarz, Falko Franck, Alexander Scheyerer, Max J. Spiegl, Ulrich J. A. Ullrich, Bernhard W. Global Spine J Special Issue Articles 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. SAGE Publications 2023-04-21 2023-04 /pmc/articles/PMC10177311/ /pubmed/37084351 http://dx.doi.org/10.1177/21925682221127956 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Special Issue Articles
Osterhoff, Georg
Schenk, Philipp
Katscher, Sebastian
Schnake, Klaus John
Bäumlein, Martin
Zimmermann, Volker
Schmeiser, Gregor
Scherer, Michael A.
Müller, Michael
Sprengel, Kai
Liepold, Katja
Schramm, Simon
Baron, Christopher
Siekmann, Holger
Schwarz, Falko
Franck, Alexander
Scheyerer, Max J.
Spiegl, Ulrich J. A.
Ullrich, Bernhard W.
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Special Issue Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10177311/
https://www.ncbi.nlm.nih.gov/pubmed/37084351
http://dx.doi.org/10.1177/21925682221127956
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