Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures
<i>Background and Objectives</i>: The adequate therapy of thoracolumbar fractures in the elderly population is still controversially discussed. The aim of this study was to evaluate and compare the results of conservatively and surgically treated younger (≤60a) and elderly patients (>...
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| Format: | Article |
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MDPI AG
2023-04-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/4/695 |
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| author | Andrea Schuller Stephan Payr Lorenz Pichler Thomas Sator Anna Ploetzl Britta Chocholka Thomas M. Tiefenboeck Kambiz Sarahrudi |
| author_facet | Andrea Schuller Stephan Payr Lorenz Pichler Thomas Sator Anna Ploetzl Britta Chocholka Thomas M. Tiefenboeck Kambiz Sarahrudi |
| author_sort | Andrea Schuller |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The adequate therapy of thoracolumbar fractures in the elderly population is still controversially discussed. The aim of this study was to evaluate and compare the results of conservatively and surgically treated younger (≤60a) and elderly patients (>60a) with fractures of L1. <i>Materials and Methods</i>: Patients (231) with isolated L1 fractures were included and treated at the University Clinic of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, during the observation period of 2012–2018. <i>Results</i>: Conservative treatment led to a significant increase in the vertebral and bi-segmental kyphosis angle in both age groups (young vertebral: <i>p</i> = 0.007; young bi-segmental: <i>p</i> = 0.044; old vertebral: <i>p</i> = 0.0001; old bis-segmental: <i>p</i> = 0.0001). A significant reduction in the vertebral angle in both age groups was achieved after operative treatment (young: <i>p</i> = 0.003, old: <i>p</i> = 0.007). The bi-segmental angle did not significantly improve after surgery in both age groups (≤60a: <i>p</i> = 0.07; >60a: <i>p</i> = 1.0). <i>Conclusions</i>: The study shows that conservative treatment does not seem to be sufficient for a correction of radiological parameters in young and elderly patients. In contrast, operative treatment led to a significant improvement of the vertebral kyphosis angle, without changing the bi-segmental kyphosis angle. These results suggest a greater benefit from operative treatment in patients ≤ 60a than in older patients. |
| first_indexed | 2024-03-11T04:46:21Z |
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| language | English |
| last_indexed | 2024-03-11T04:46:21Z |
| publishDate | 2023-04-01 |
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| record_format | Article |
| series | Medicina |
| spelling | doaj.art-72fc8fe414104fcfba1518e2ca2c93c12023-11-17T20:20:39ZengMDPI AGMedicina1010-660X1648-91442023-04-0159469510.3390/medicina59040695Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 FracturesAndrea Schuller0Stephan Payr1Lorenz Pichler2Thomas Sator3Anna Ploetzl4Britta Chocholka5Thomas M. Tiefenboeck6Kambiz Sarahrudi7Department of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDepartment of Orthopaedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, 1090 Vienna, AustriaDivision of Trauma Surgery, LK Wiener Neustadt, 2700 Wiener Neustadt, Austria<i>Background and Objectives</i>: The adequate therapy of thoracolumbar fractures in the elderly population is still controversially discussed. The aim of this study was to evaluate and compare the results of conservatively and surgically treated younger (≤60a) and elderly patients (>60a) with fractures of L1. <i>Materials and Methods</i>: Patients (231) with isolated L1 fractures were included and treated at the University Clinic of Orthopedics and Trauma Surgery, Division of Trauma Surgery, Medical University of Vienna, during the observation period of 2012–2018. <i>Results</i>: Conservative treatment led to a significant increase in the vertebral and bi-segmental kyphosis angle in both age groups (young vertebral: <i>p</i> = 0.007; young bi-segmental: <i>p</i> = 0.044; old vertebral: <i>p</i> = 0.0001; old bis-segmental: <i>p</i> = 0.0001). A significant reduction in the vertebral angle in both age groups was achieved after operative treatment (young: <i>p</i> = 0.003, old: <i>p</i> = 0.007). The bi-segmental angle did not significantly improve after surgery in both age groups (≤60a: <i>p</i> = 0.07; >60a: <i>p</i> = 1.0). <i>Conclusions</i>: The study shows that conservative treatment does not seem to be sufficient for a correction of radiological parameters in young and elderly patients. In contrast, operative treatment led to a significant improvement of the vertebral kyphosis angle, without changing the bi-segmental kyphosis angle. These results suggest a greater benefit from operative treatment in patients ≤ 60a than in older patients.https://www.mdpi.com/1648-9144/59/4/695thoracolumbar fracturekyphosis anglevertebralbi-segmentalelderly population |
| spellingShingle | Andrea Schuller Stephan Payr Lorenz Pichler Thomas Sator Anna Ploetzl Britta Chocholka Thomas M. Tiefenboeck Kambiz Sarahrudi Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures Medicina thoracolumbar fracture kyphosis angle vertebral bi-segmental elderly population |
| title | Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures |
| title_full | Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures |
| title_fullStr | Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures |
| title_full_unstemmed | Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures |
| title_short | Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures |
| title_sort | radiographic outcomes of conservative and operative treatment in isolated l1 fractures |
| topic | thoracolumbar fracture kyphosis angle vertebral bi-segmental elderly population |
| url | https://www.mdpi.com/1648-9144/59/4/695 |
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