Abstract
Purpose
The intention of the current work was to assess the association between clinical parameters and seven different quality of life (QoL) instruments after surgical treatment of thoracolumbar spinal fractures after an average follow-up of 4.2 years.
Methods
The following human-related quality of life and PRO measures of 66 patients were correlated to clinical parameters such as fingertip-to-floor distance (FFD), Schober measurement, pressure and percussion pain in the lumbopelvine area (PPP), and paravertebral muscle tension: reALOS, SF-36, VAS, VAS spine score, BDI, the GBB-24, and the IES-R.
Results
Overall, there was a significant association between the clinical parameters of the thoracolumbar spine such as PPP, paravertebral muscle tension, FFD and Schober’s sign on one side, and the seven tested instruments on the other side.
Conclusions
PPP and FFD as well as a small Schober measurement are clinical parameters which significantly influence QoL after surgical treatment of thoracolumbar fractures.
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References
Briem D, Behechtnejad A, Ouchmaev A et al (2007) Pain regulation and health-related quality of life after thoracolumbar fractures of the spine. Eur Spine J 16:1925–1933
Alanay A, Acaroglu E, Yazici M, Oznur A, Surat A (2001) Short-segment pedicle instrumentation of thoracolumbar burst fractures: does transpedicular intracorporeal grafting prevent early failure? Spine (Phila Pa 1976) 26:213–217
Been HD, Poolman RW, Ubags LH (2004) Clinical outcome and radiographic results after surgical treatment of post-traumatic thoracolumbar kyphosis following simple type A fractures. Eur Spine J 13:101–107
Bertram R, Bessem H, Diedrich O, Wagner U, Schmitt O (2003) Comparison of dorso-lateral and dorso-ventral stabilization procedures in the treatment of vertebral fractures. Z Orthop Ihre Grenzgeb 141:573–577
Briem D, Meenen NM, Linhart W, Burchard A, Lehmann W, Rueger JM (2000) Dorsale Stabilisierung von Frakturen des thorakolumbalen šberganges. Follow-up-Analyse und Vergleich mit konkurrierenden Methoden. Osteosynthese International, Suppl 1, S215–S216
Eysel P, Hopf C, Furderer S (2001) Kyphotic deformation in fractures of the thoracic and lumbar spine. Orthopade 30:955–964
Katscher S, Verheyden P, Gonschorek O, Glasmacher S, Josten C (2003) Thoracolumbar spine fractures after conservative and surgical treatment. Dependence of correction loss on fracture level. Unfallchirurg 106:20–27
Liljenqvist U, Mommsen U (1995) Surgical treatment of thoracolumbar spinal fractures with internal fixator and transpedicular spongiosa-plasty. Unfallchirurgie 21:30–39
McLain RF (2004) Functional outcomes after surgery for spinal fractures: return to work and activity. Spine (Phila Pa 1976), 29:470–477
Seybold EA, Sweeney CA, Fredrickson BE, Warhold LG, Bernini PM (1999) Functional outcome of low lumbar burst fractures. A multicenter review of operative and nonoperative treatment of L3–L5. Spine (Phila Pa 1976) 24:2154–2161
Shen WJ, Liu TJ, Shen YS (2001) Nonoperative treatment versus posterior fixation for thoracolumbar junction burst fractures without neurologic deficit. Spine (Phila Pa 1976) 26:1038–1045
Walchli B, Heini P, Berlemann U (2001) Loss of correction after dorsal stabilization of burst fractures of the thoracolumbar junction. The role of transpedicular spongiosa plasty. Unfallchirurg 104:742–747
Andress HJ, Braun H, Helmberger T, Schurmann M, Hertlein H, Hartl WH (2002) Long-term results after posterior fixation of thoraco-lumbar burst fractures. Injury 33:357–365
Knop C, Blauth M, Buhren V et al (2001) Surgical treatment of injuries of the thoracolumbar transition–3: follow-up examination. Results of a prospective multi-center study by the “Spinal” Study Group of the German Society of Trauma Surgery. Unfallchirurg 104:583–600
Knop C, Fabian HF, Bastian L et al (2002) Fate of the transpedicular intervertebral bone graft after posterior stabilisation of thoracolumbar fractures. Eur Spine J 11:251–257
Reinhold M, Knop C, Beisse R et al (2009) Operative treatment of traumatic fractures of the thoracic and lumbar spinal column: Part III: follow up data. Unfallchirurg 112:294–316
Kraemer WJ, Schemitsch EH, Lever J, McBroom RJ, McKee MD, Waddell JP (1996) Functional outcome of thoracolumbar burst fractures without neurological deficit. J Orthop Trauma 10:541–544
Leferink VJ, Keizer HJ, Oosterhuis JK, van der Sluis CK, ten Duis HJ (2003) Functional outcome in patients with thoracolumbar burst fractures treated with dorsal instrumentation and transpedicular cancellous bone grafting. Eur Spine J 12:261–267
Knop C, Kranabetter T, Reinhold M, Blauth M (2009) Combined posterior-anterior stabilisation of thoracolumbar injuries utilising a vertebral body replacing implant. Eur Spine J 18:949–963
Wood K, Buttermann G, Mehbod A et al (2003) Operative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study. J Bone Joint Surg Am 85-A:773–781
Frankel HL, Hancock DO, Hyslop G et al (1969) The value of postural reduction in the initial management of closed injuries of the spine with paraplegia and tetraplegia I. Paraplegia 7:179–192
Paar O, Kasperk R (1992) Long-term follow-up of polytrauma. Unfallchirurg 95:78–82
Fernandez V, Erli HJ, Kugler J, Paar O (2001) Cognitive deficits after polytrauma. Studies of quality of life. Unfallchirurg 104:938–947
Knop C, Oeser M, Bastian L, Lange U, Zdichavsky M, Blauth M (2001) Development and validation of the Visual Analogue Scale (VAS) spine score. Unfallchirurg 104:488–497
Michel A, Kohlmann T, Raspe H (1997) The association between clinical findings on physical examination and self-reported severity in back pain. Results of a population-based study. Spine (Phila Pa 1976) 22:296–303
Frost M, Stuckey S, Smalley LA, Dorman G (1982) Reliability of measuring trunk motions in centimeters. Phys Ther 62:1431–1437
Marras WS, Ferguson SA, Gupta P et al (1999) The quantification of low back disorder using motion measures. Methodology and validation. Spine (Phila Pa 1976) 24:2091–2100
Haywood KL, Garratt AM, Jordan K, Dziedzic K, Dawes PT (2004) Spinal mobility in ankylosing spondylitis: reliability, validity and responsiveness. Rheumatology (Oxford) 43:750–757
Saur PM, Pfingsten M, Ensink FB et al (1996) Interrater studies of evaluating the reliability of somatic findings. Rehabilitation (Stuttg) 35:150–160
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Thormann, U., Erli, HJ., Brügmann, M. et al. Association of clinical parameters of operatively treated thoracolumbar fractures with quality of life parameters. Eur Spine J 22, 2202–2210 (2013). https://doi.org/10.1007/s00586-013-2799-0
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DOI: https://doi.org/10.1007/s00586-013-2799-0