PT  - JOURNAL ARTICLE
AU  - ANDREI FERNANDES JOAQUIM
AU  - SÉRGIO AUGUSTO RODRIGUES
AU  - FELIPE SOARES DA SILVA
AU  - OTÁVIO TUROLO DA SILVA
AU  - ENRICO GHIZONI
AU  - HELDER TEDESCHI
AU  - GREGORY D. SCHROEDER
AU  - ALEXANDER R. VACCARO
AU  - ALPESH A. PATEL
TI  - Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically?
AID  - 10.14444/5043
DP  - 2018 Jun 01
TA  - International Journal of Spine Surgery
PG  - 371--376
VI  - 12
IP  - 3
4099  - http://ijssurgery.com//content/12/3/371.short
4100  - http://ijssurgery.com//content/12/3/371.full
SO  - Int J Spine Surg2018 Jun 01; 12
AB  - 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.