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Research ArticleLumbar Spine

Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically?

Andrei Fernandes Joaquim, Sérgio Augusto Rodrigues, Felipe Soares Da Silva, Otávio Turolo Da Silva, Enrico Ghizoni, Helder Tedeschi, Gregory D. Schroeder, Alexander R. Vaccaro and Alpesh A. Patel
International Journal of Spine Surgery June 2018, 5043; DOI: https://doi.org/10.14444/5043
Andrei Fernandes Joaquim
1Department of Neurology, Neurosurgical Division, State University of Campinas–UNICAMP, Campinas-SP, Brazil
MD, PHD
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Sérgio Augusto Rodrigues
2Department of Bioprocess and Biotechnology, State University of São Paulo–UNESP, Botucatu-SP, Brazil
PHD
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Felipe Soares Da Silva
1Department of Neurology, Neurosurgical Division, State University of Campinas–UNICAMP, Campinas-SP, Brazil
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Otávio Turolo Da Silva
1Department of Neurology, Neurosurgical Division, State University of Campinas–UNICAMP, Campinas-SP, Brazil
MD
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Enrico Ghizoni
1Department of Neurology, Neurosurgical Division, State University of Campinas–UNICAMP, Campinas-SP, Brazil
MD, PHD
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Helder Tedeschi
1Department of Neurology, Neurosurgical Division, State University of Campinas–UNICAMP, Campinas-SP, Brazil
MD, PHD
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Gregory D. Schroeder
3Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania
MD
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Alexander R. Vaccaro
3Department of Orthopaedic Surgery, The Rothman Institute at Thomas Jefferson University, Philadelphia, Pennsylvania
MD, PHD, MBA
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Alpesh A. Patel
4Department of Orthopedics, Northwest University, Chicago, Illinois
MD, FACS
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ABSTRACT

Background The objective was to evaluate if there is an association of the spino-pelvic relationships and the global spinal alignment with the outcome of AO type A injuries treated nonsurgically.

Methods This is a retrospective case series. Patients treated nonsurgically for AOSpine type A fractures (T1-L5) with at least 1 year follow-up identified. A standing antero-posterior and lateral 36-inch radiographs and measures of spino-pelvic relationships and sagittal alignment were obtained, as well as clinical assessment using the visual analog scale, the Short-Form 36 (SF-36) questionnaire, the Oswestry Disability Index (ODI), and labor status.

Results Twenty-two patients with 33 fractures were included (L1 was the most injured level with 18.2%). There were 17 men (77.2%) and the mean age was 47.1 years. Follow-up ranged from 12 to 60 months (mean of 27.8 months). There were 22 type A1 (66.7%), 3 type A2 (9%), 6 type A3 (18%), and 2 type A4 (6%) fractures. The ODI ranged from 4% to 58%, with a mean of 24.4%. The SF-36 physical health score ranged from 23 to 82.25 (mean 49.59), and the mental health score ranged from 14.75 to 94.25 (mean 63.28). No association was identified between the spino-pelvic measurements, global alignment, and patient-reported outcomes.

Conclusions Type A fractures had a clinically relevant amount of long-term disability even when surgical treatment is not required. Spino-pelvic relationships and final global spinal alignment did not associate with outcome measurements.

  • thoracolumbar
  • compression
  • burst
  • fractures
  • conservative treatment
  • outcome
  • sagittal balance
  • spino-pelvic relationships
  • VAS
  • ODI
  • SF-36
  • TLICS

Footnotes

  • Disclosures and COI: This paper was supported by FAPESP – Fundação de Amparo a Pesquisa de São Paulo – process 2015/09848-8. No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript. The authors have no financial interest in the subject of this article. The manuscript submitted does not contain information about medical device(s).

  • ©International Society for the Advancement of Spine Surgery
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International Journal of Spine Surgery: 19 (S2)
International Journal of Spine Surgery
Vol. 19, Issue S2
1 Apr 2025
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Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically?
Andrei Fernandes Joaquim, Sérgio Augusto Rodrigues, Felipe Soares Da Silva, Otávio Turolo Da Silva, Enrico Ghizoni, Helder Tedeschi, Gregory D. Schroeder, Alexander R. Vaccaro, Alpesh A. Patel
International Journal of Spine Surgery Jun 2018, 5043; DOI: 10.14444/5043

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Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically?
Andrei Fernandes Joaquim, Sérgio Augusto Rodrigues, Felipe Soares Da Silva, Otávio Turolo Da Silva, Enrico Ghizoni, Helder Tedeschi, Gregory D. Schroeder, Alexander R. Vaccaro, Alpesh A. Patel
International Journal of Spine Surgery Jun 2018, 5043; DOI: 10.14444/5043
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Keywords

  • thoracolumbar
  • compression
  • burst
  • fractures
  • conservative treatment
  • outcome
  • sagittal balance
  • spino-pelvic relationships
  • VAS
  • ODI
  • sf-36
  • TLICS

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