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...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-11-01
|
| Series: | Journal of Clinical Medicine |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2077-0383/11/22/6715 |
| _version_ | 1797464949857976320 |
|---|---|
| author | Po-Han Su Yi-Hsun Huang Chen-Wei Yeh Chun-Yen Chen Yuan-Shun Lo Hsien-Te Chen Chun-Hao Tsai |
| author_facet | Po-Han Su Yi-Hsun Huang Chen-Wei Yeh Chun-Yen Chen Yuan-Shun Lo Hsien-Te Chen Chun-Hao Tsai |
| author_sort | Po-Han Su |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-09T18:14:29Z |
| format | Article |
| id | doaj.art-28980061d8bd45639495293e566252cc |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T18:14:29Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-28980061d8bd45639495293e566252cc2023-11-24T08:48:55ZengMDPI AGJournal of Clinical Medicine2077-03832022-11-011122671510.3390/jcm11226715What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis?Po-Han Su0Yi-Hsun Huang1Chen-Wei Yeh2Chun-Yen Chen3Yuan-Shun Lo4Hsien-Te Chen5Chun-Hao Tsai6School of Medicine, China Medical University, Taichung 404, TaiwanSchool of Medicine, China Medical University, Taichung 404, TaiwanSchool of Medicine, China Medical University, Taichung 404, TaiwanDepartment of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, TaiwanDepartment of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, TaiwanDepartment of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung 404, TaiwanSchool of Medicine, China Medical University, Taichung 404, TaiwanFor 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.https://www.mdpi.com/2077-0383/11/22/6715spinopelvic dissociationtriangular osteosynthesisfunctional outcome |
| spellingShingle | Po-Han Su Yi-Hsun Huang Chen-Wei Yeh Chun-Yen Chen Yuan-Shun Lo Hsien-Te Chen Chun-Hao Tsai What Are the Key Factors of Functional Outcomes in Patients with Spinopelvic Dissociation Treated with Triangular Osteosynthesis? Journal of Clinical Medicine spinopelvic dissociation triangular osteosynthesis functional outcome |
| 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 | spinopelvic dissociation triangular osteosynthesis functional outcome |
| url | https://www.mdpi.com/2077-0383/11/22/6715 |
| work_keys_str_mv | AT pohansu whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis AT yihsunhuang whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis AT chenweiyeh whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis AT chunyenchen whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis AT yuanshunlo whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis AT hsientechen whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis AT chunhaotsai whatarethekeyfactorsoffunctionaloutcomesinpatientswithspinopelvicdissociationtreatedwithtriangularosteosynthesis |