TY - JOUR T1 - Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically? JF - International Journal of Spine Surgery JO - Int J Spine Surg SP - 371 LP - 376 DO - 10.14444/5043 VL - 12 IS - 3 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 Y1 - 2018/06/01 UR - http://ijssurgery.com//content/12/3/371.abstract N2 - 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. ER -