Alinhamento espinopélvico em pacientes com fratura toracolombar explosão

Abstract: Objective To evaluate the spinopelvic alignment in patients with thoracolumbar burst fracture (TBF) without neurological deficit treated nonsurgically and surgically in a tertiary reference trauma hospital. Method Retrospective cross-sectional study of patients with single level, type A3 and A4 AOSpine TBF only of the thoracolumbar region. Analysis of clinical data, low back pain (visual analogue scale [VAS]), Denis Pain Scale, quality of life (SF-36), sagittal (TC, TLC, LL, SVA) and spinopelvic (IP, PV, SI, PI-LL) radiographic parameters of patients treated surgically and nonsurgically. Results A total of 50 individuals with an average age of 50 years old with a mean follow-up of 109 months (minimum of 19 and maximum of 306 months) were evaluated. There was a significant difference between treatments for the Denis Work Scale (p = 0.046) in favor of nonsurgical treatment. There was no significant difference between the treatments for lower back pain VAS and Denis Pain Scale (p = 0.468 and p = 0.623). There was no significant difference between treatments in any of the domains evaluated with the SF-36 (p > 0.05). Radiographic parameters were not different between the analyzed groups; however, all radiographic parameters showed significant difference between the population considered asymptomatic, except for pelvic incidence (p < 0.005). Conclusions The spinopelvic alignment was normal in patients with TBF without neurological deficit treated nonsurgically and surgically after a minimum follow-up of 19 months. However, they presented a higher mean pelvic version and discrepancy between lumbar lordosis and pelvic incidence when compared with the reference values of the Brazilian population.

Object Details

• Alternative title: Spinal Cord Alignment in Patients with Thoracolumbar Burst Fracture
• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Portugiesisch

References and Relationships

• Bibliographic citation: Alinhamento espinopélvico em pacientes com fratura toracolombar explosão ; volume:58 ; number:01 ; year:2023 ; pages:058-066 ; Revista Brasileira de ortopedia ; 58, Heft 01 (2023), 058-066

Contributors, Places and Time

• Contributor: José, Lucas Miotto ; Coury, Pedro ; Meves, Robert

Further information

• DOI: 10.1055/s-0042-1756322
• URN: urn:nbn:de:101:1-2409191016102.763574813922
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:29 AM CEST