Multicenter evaluation of therapeutic strategies of inpatients with osteoporotic vertebral fractures in Germany.
Purpose: The aim of this study was to assess therapeutic strategies of inpatients with osteoporotic thoracolumbar fractures (OTF) in Germany. Methods: Prospective multi-center study including 16 German-speaking trauma centers over a period of 7 months. All inpatients with OTF were included. Radiolog...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 48; no. 2; pp. 1401 - 1409 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Apr2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156244369&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156244369 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Apr2022 vid: 48 iid: 2 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156244369 150631219 156244369 156244369 10.1007/s00068-021-01708-x 156244369 ppf: 1401 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Multicenter evaluation of therapeutic strategies of inpatients with osteoporotic vertebral fractures in Germany. aug: au: Schnake, Klaus John Bouzakri, Nabila Hahn, Patrick Franck, Alexander Blattert, Thomas R. Zimmermann, Volker Gonschorek, Oliver Ullrich, Bernhard Kandziora, Frank Müller, Michael Katscher, Sebastian Hartmann, Frank Mörk, Sven Verheyden, Akhil Schinkel, Christian Piltz, Stefan Olbrich, Annett affil: Center for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Rathsberger Strasse 57, 91054, Erlangen, Germany sug: subj: Thoracic Vertebrae Injuries Lumbar Vertebrae Injuries Hospitalization Spinal Fractures Surgery Osteoporotic Fractures Surgery Orthopedic Surgery Methods Health Care Delivery Evaluation Human Inpatients Multicenter Studies Prospective Studies Trauma Centers Germany Surgical Patients Spine Radiography Spinal Fractures Physiopathology Male Female Adult Middle Age Aged Aged, 80 and Over Spinal Fractures Classification Severity of Injury Disease Progression Odds Ratio Anticoagulants Dementia Scales Pain Measurement Treatment Duration Descriptive Statistics Fractures, Vertebral Compression Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: The aim of this study was to assess therapeutic strategies of inpatients with osteoporotic thoracolumbar fractures (OTF) in Germany. Methods: Prospective multi-center study including 16 German-speaking trauma centers over a period of 7 months. All inpatients with OTF were included. Radiological and clinical data on admission and treatment modalities were assessed. Results: Seven hundred and seven (99.3%) out of 712 included patients (73.3% female) could be evaluated. Mean age was 75 years (30–103). 51.3% could not remember any traumatic incident. Fracture distribution was from T2 to L5 with L1 (19%) most commonly affected. According to the Magerl classification type A1 (52.1%) and A3 (42.7%) were most common. B and C type injuries (2.6%) and neurological deficits (3.1%) were rare. Previous progression of vertebral deformation was evident in 34.4% of patients and related to t score below − 3 (Odds ratio 1.9661). Patients presented with anticoagulation medication (15.4%), dementia (13%), and ASA score > 3 (12.4%) frequently. 82.3% of patients complained of pain > 4 on VAS, 37% could not be mobilized despite pain medication according to grade II WHO pain ladder. 81.6% received operative treatment. Kyphoplasty (63.8%) and hybrid stabilization including kyphoplasty with (14.4%) or without screw augmentation (7.6%) were the techniques most frequently used. Invasiveness of treatment increased with degree of instability. Conclusions: OTF are mostly type A compression fractures. Patients suffer from severe pain and immobilization frequently. Progression of deformity is correlated to t score below − 3. Treatment of inpatients is mainly surgical, with kyphoplasty followed by hybrid stabilization as commonly used techniques. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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