Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study
Abstract Objective To compare the clinical results between conservative (CS) and surgical treatment (CXS) of A3 and A4 fractures without neurological deficit. Methods Prospective observational study of patients with thoracolumbar fractures type A3 and A4. These patients were separated between the...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2023-05-01
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| Series: | Revista Brasileira de Ortopedia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100042&tlng=pt |
| _version_ | 1797329604287922176 |
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| author | Emiliano Neves Vialle Asdrubal Falavigna André de Oliveira Arruda Joana Bretas Cabral Rondon Guasque Bárbara Miroski de Oliveira Pinto Guilherme Finger Ericson Sfreddo André Martins de Lima Cecchini |
| author_facet | Emiliano Neves Vialle Asdrubal Falavigna André de Oliveira Arruda Joana Bretas Cabral Rondon Guasque Bárbara Miroski de Oliveira Pinto Guilherme Finger Ericson Sfreddo André Martins de Lima Cecchini |
| author_sort | Emiliano Neves Vialle |
| collection | DOAJ |
| description | Abstract Objective To compare the clinical results between conservative (CS) and surgical treatment (CXS) of A3 and A4 fractures without neurological deficit. Methods Prospective observational study of patients with thoracolumbar fractures type A3 and A4. These patients were separated between the surgical and conservative groups, and evaluated sequentially through the numeric rating scale (NRS), Roland-Morris disability questionnaire (RMDQ), EuroQol-5D (EQ-5D) quality of life questionnaire, and Denis work scale (DWS) up to 2.5 years of follow-up. Results Both groups showed significant improvement, with no statistical difference in pain questionnaires (NRS: CXS 2.4 ± 2.6; CS 3.5 ± 2.6; p> 0.05), functionality (RMDQ: CS 7 ± 6.4; CXS 5.5 ± 5.2; p> 0.05), quality of life (EQ-5D), and return to work (DWS). Conclusion Both treatments are viable options with equivalent clinical results. There is a tendency toward better results in the surgical treatment of A4 fractures. |
| first_indexed | 2024-03-08T07:07:53Z |
| format | Article |
| id | doaj.art-9787ccba54534b3a8cd3bcd1eed46615 |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T07:07:53Z |
| publishDate | 2023-05-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-9787ccba54534b3a8cd3bcd1eed466152024-02-03T04:13:23ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782023-05-01581424710.1055/s-0042-1749623Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort StudyEmiliano Neves Viallehttps://orcid.org/0000-0003-1157-4889Asdrubal Falavignahttps://orcid.org/0000-0002-0016-3198André de Oliveira Arrudahttps://orcid.org/0000-0001-6579-8234Joana Bretas Cabral Rondon Guasquehttps://orcid.org/0000-0001-5057-940XBárbara Miroski de Oliveira Pintohttps://orcid.org/0000-0001-6341-1593Guilherme Fingerhttps://orcid.org/0000-0001-8365-8032Ericson Sfreddohttps://orcid.org/0000-0001-8539-4202André Martins de Lima Cecchinihttps://orcid.org/0000-0002-6186-5361Abstract Objective To compare the clinical results between conservative (CS) and surgical treatment (CXS) of A3 and A4 fractures without neurological deficit. Methods Prospective observational study of patients with thoracolumbar fractures type A3 and A4. These patients were separated between the surgical and conservative groups, and evaluated sequentially through the numeric rating scale (NRS), Roland-Morris disability questionnaire (RMDQ), EuroQol-5D (EQ-5D) quality of life questionnaire, and Denis work scale (DWS) up to 2.5 years of follow-up. Results Both groups showed significant improvement, with no statistical difference in pain questionnaires (NRS: CXS 2.4 ± 2.6; CS 3.5 ± 2.6; p> 0.05), functionality (RMDQ: CS 7 ± 6.4; CXS 5.5 ± 5.2; p> 0.05), quality of life (EQ-5D), and return to work (DWS). Conclusion Both treatments are viable options with equivalent clinical results. There is a tendency toward better results in the surgical treatment of A4 fractures.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100042&tlng=ptinternal fixation fracturespinal fracturestreatment outcomeconservative treatment |
| spellingShingle | Emiliano Neves Vialle Asdrubal Falavigna André de Oliveira Arruda Joana Bretas Cabral Rondon Guasque Bárbara Miroski de Oliveira Pinto Guilherme Finger Ericson Sfreddo André Martins de Lima Cecchini Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study Revista Brasileira de Ortopedia internal fixation fracture spinal fractures treatment outcome conservative treatment |
| title | Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study |
| title_full | Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study |
| title_fullStr | Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study |
| title_full_unstemmed | Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study |
| title_short | Comparison Between Surgical and Conservative Treatment for AOSpine Type A3 and A4 Thoracolumbar Fractures without Neurological Deficit: Prospective Observational Cohort Study |
| title_sort | comparison between surgical and conservative treatment for aospine type a3 and a4 thoracolumbar fractures without neurological deficit prospective observational cohort study |
| topic | internal fixation fracture spinal fractures treatment outcome conservative treatment |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162023000100042&tlng=pt |
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