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What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?

For patients with spinopelvic dissociation (SPD), triangular osteosynthesis is the current method for the fixation of the posterior pelvis. This study aimed to assess the recovery process and radiographic parameters associated with the functional outcomes in patients with SPD treated by triangular o...

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Autores principales: Su, Po-Han, Huang, Yi-Hsun, Yeh, Chen-Wei, Chen, Chun-Yen, Lo, Yuan-Shun, Chen, Hsien-Te, Tsai, Chun-Hao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699448/
https://www.ncbi.nlm.nih.gov/pubmed/36431191
http://dx.doi.org/10.3390/jcm11226715
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author Su, Po-Han
Huang, Yi-Hsun
Yeh, Chen-Wei
Chen, Chun-Yen
Lo, Yuan-Shun
Chen, Hsien-Te
Tsai, Chun-Hao
author_facet Su, Po-Han
Huang, Yi-Hsun
Yeh, Chen-Wei
Chen, Chun-Yen
Lo, Yuan-Shun
Chen, Hsien-Te
Tsai, Chun-Hao
author_sort Su, Po-Han
collection PubMed
description For patients with spinopelvic dissociation (SPD), triangular osteosynthesis is the current method for the fixation of the posterior pelvis. This study aimed to assess the recovery process and radiographic parameters associated with the functional outcomes in patients with SPD treated by triangular osteosynthesis. We collected data from 23 patients with SPD. To investigate the key aspect regarding the functional outcomes of these patients, we measured pre- and post-operative parameters, and a statistical analysis adjusted for age, gender, and time windows was used. The radiographic displacement measurement in the pre-operative period showed that the EQ−5D−5L increased by 2.141 per outlet ratio unit. The EQ−5D−5L increased by 1.359 per inlet ratio unit and 1.804 per outlet ratio during the postoperative period. The EQ−VAS increased significantly only with the inlet ratio in the postoperative period (1.270 per inlet ratio). A vertical reduction in SPD during the surgery can achieve more satisfactory outcomes than a horizontal anatomical reduction, in which the horizontal displacement causes inferior functional outcomes.
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spelling pubmed-96994482022-11-26 What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis? Su, Po-Han Huang, Yi-Hsun Yeh, Chen-Wei Chen, Chun-Yen Lo, Yuan-Shun Chen, Hsien-Te Tsai, Chun-Hao J Clin Med Article For patients with spinopelvic dissociation (SPD), triangular osteosynthesis is the current method for the fixation of the posterior pelvis. This study aimed to assess the recovery process and radiographic parameters associated with the functional outcomes in patients with SPD treated by triangular osteosynthesis. We collected data from 23 patients with SPD. To investigate the key aspect regarding the functional outcomes of these patients, we measured pre- and post-operative parameters, and a statistical analysis adjusted for age, gender, and time windows was used. The radiographic displacement measurement in the pre-operative period showed that the EQ−5D−5L increased by 2.141 per outlet ratio unit. The EQ−5D−5L increased by 1.359 per inlet ratio unit and 1.804 per outlet ratio during the postoperative period. The EQ−VAS increased significantly only with the inlet ratio in the postoperative period (1.270 per inlet ratio). A vertical reduction in SPD during the surgery can achieve more satisfactory outcomes than a horizontal anatomical reduction, in which the horizontal displacement causes inferior functional outcomes. MDPI 2022-11-13 /pmc/articles/PMC9699448/ /pubmed/36431191 http://dx.doi.org/10.3390/jcm11226715 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Su, Po-Han
Huang, Yi-Hsun
Yeh, Chen-Wei
Chen, Chun-Yen
Lo, Yuan-Shun
Chen, Hsien-Te
Tsai, Chun-Hao
What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
title What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
title_full What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
title_fullStr What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
title_full_unstemmed What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
title_short What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?
title_sort what are the key factors of functional outcomes in patients with spinopelvic dissociation treated with triangular osteosynthesis?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9699448/
https://www.ncbi.nlm.nih.gov/pubmed/36431191
http://dx.doi.org/10.3390/jcm11226715
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