The evaluation of MSTMOVCF (Multi-segment thoracolumbar delicate osteoporotic fractures surgical procedure or conservative remedy) based mostly on ASTLOF (the evaluation system of thoracolumbar osteoporotic fracture).
Sci Rep. 2018 Might 29;eight(1):8185
Authors: Du JP, Fan Y, Liu JJ, Zhang JN, Huang YS, Zhang J, Hao DJ
To analyze the problem that conservative or surgical remedy for multi-segmental thoracolumbar delicate osteoporotic vertebral compression fracture (MSTMOVCF) by making use of the evaluation system of thoracolumbar osteoporotic fracture (ASTLOF). A single-center potential cohort research was designed to enroll aged sufferers with MSTMOVCF from June 2013 to June 2016, which have been divided into conservative and surgical procedure group. The first outcomes have been Visible Analogue Scale (VAS) rating and Oswestry Incapacity Index (ODI) rating, with secondary outcomes together with SF-36 and imaging measures resembling peak of anterior and center column, Beck worth, issues. A complete of 470 sufferers with MSTMOVCF have been enrolled. 193 sufferers underwent surgical procedure of percutaneous vertebroplasty (PVP) or percutaneous kyphoplasty (PKP) and 277 sufferers underwent conservative remedy. The VAS rating of operation group was considerably decrease than that of conservative group (P?<?zero.0001, for all). The ODI rating of the operation group was considerably decrease than that of conservative group (P?<?zero.0001, for all). The SF-36 rating, peak of anterior and center column, Beck worth within the operation group have been increased than these in conservative group (P?<?zero.0001, for all) at 1-year follow-up. MSTMOVCF underwent surgical procedure can obtain nice short-term medical outcomes. The affected person with the sum of revised ASTLOF scores of a number of injured vertebrae???5 was beneficial for surgical procedure.
PMID: 29844542 [PubMed – in process]