Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment
<sec><title>OBJECTIVE:</title><p> 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.</p></sec><sec><title>METHODS:</title&g...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Coluna (SBC)
2015-06-01
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| Series: | Coluna/Columna |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000200129&lng=en&tlng=en |
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| author | Rodrigo Arnold Tisot Juliano da Silveira Vieira Renato Tadeu dos Santos Augusto Alves Badotti Diego da Silva Collares Leonardo Domingues Stumm Bruno Brum Barreto Paulo Bruno Camargo |
| author_facet | Rodrigo Arnold Tisot Juliano da Silveira Vieira Renato Tadeu dos Santos Augusto Alves Badotti Diego da Silva Collares Leonardo Domingues Stumm Bruno Brum Barreto Paulo Bruno Camargo |
| author_sort | Rodrigo Arnold Tisot |
| collection | DOAJ |
| description | <sec><title>OBJECTIVE:</title><p> 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.</p></sec><sec><title>METHODS:</title><p> 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.</p></sec><sec><title>RESULTS:</title><p> 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.</p></sec><sec><title>CONCLUSION:</title><p> 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.</p></sec> |
| first_indexed | 2024-04-12T16:32:40Z |
| format | Article |
| id | doaj.art-1b3f08d3b1934a0b9da34ee482cecde9 |
| institution | Directory Open Access Journal |
| issn | 2177-014X |
| language | English |
| last_indexed | 2024-04-12T16:32:40Z |
| publishDate | 2015-06-01 |
| publisher | Sociedade Brasileira de Coluna (SBC) |
| record_format | Article |
| series | Coluna/Columna |
| spelling | doaj.art-1b3f08d3b1934a0b9da34ee482cecde92022-12-22T03:25:05ZengSociedade Brasileira de Coluna (SBC)Coluna/Columna2177-014X2015-06-0114212913310.1590/S1808-185120151402146349S1808-18512015000200129Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatmentRodrigo Arnold TisotJuliano da Silveira VieiraRenato Tadeu dos SantosAugusto Alves BadottiDiego da Silva CollaresLeonardo Domingues StummBruno Brum BarretoPaulo Bruno Camargo<sec><title>OBJECTIVE:</title><p> 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.</p></sec><sec><title>METHODS:</title><p> 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.</p></sec><sec><title>RESULTS:</title><p> 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.</p></sec><sec><title>CONCLUSION:</title><p> 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.</p></sec>http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000200129&lng=en&tlng=enFracturas de la columna vertebralVértebras lumbaresVértebras torácicasCifosis |
| spellingShingle | Rodrigo Arnold Tisot Juliano da Silveira Vieira Renato Tadeu dos Santos Augusto Alves Badotti Diego da Silva Collares Leonardo Domingues Stumm Bruno Brum Barreto Paulo Bruno Camargo Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment Coluna/Columna Fracturas de la columna vertebral Vértebras lumbares Vértebras torácicas Cifosis |
| title | Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment |
| title_full | Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment |
| title_fullStr | Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment |
| title_full_unstemmed | Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment |
| title_short | Burst fracture of the thoracolumbar spine: correlation between kyphosis and clinical result of the treatment |
| title_sort | burst fracture of the thoracolumbar spine correlation between kyphosis and clinical result of the treatment |
| topic | Fracturas de la columna vertebral Vértebras lumbares Vértebras torácicas Cifosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512015000200129&lng=en&tlng=en |
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