HAO Dingjun,HE Baorong,GUO Hua.Score assessment system of severity of thoracolumbar osteoporotic fracture and its clinical application[J].Chinese Journal of Spine and Spinal Cord,2013,(8):730-733.
Score assessment system of severity of thoracolumbar osteoporotic fracture and its clinical application
Received:July 20, 2012  Revised:April 16, 2013
English Keywords:Thoracolumbar osteoporotic fracture  Severity  Score assessment  Clinical application
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Author NameAffiliation
HAO Dingjun Spine Surgery Department, the Red Cross Hospital Affiliated to Medical College of Xi′an Jiaotong University, Xi′an, 710054, China 
HE Baorong 西安交通大学医学院附属红会医院脊柱外科 710054 西安市 
GUO Hua 西安交通大学医学院附属红会医院脊柱外科 710054 西安市 
许正伟  
李 辉  
刘团江  
王晓东  
郑永宏  
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English Abstract:
  【Abstract】 Objective: To put forward a new score system for assessment of thoracolumbar osteoporotic fracture in search of guidance for treatment. Methods: 381 patients with thoracolumbar osteoporotic fracture were assessed based on the morphological change, MRI, bone mineral density, and pain,. Corresponding treatment method was selected according to the scores(T, 0-8 points). Results: Follow up was obtained for all patients with average time of 20.1 months(ranged from 6 to 30 months). Patients with T score less than 4 pionts (91/381) underwent conservative treatment. As a result the VAS score decreased from 8.0±1.7 to 2.0±1.3 and the ODI score also reduced from 69.5±2.8 to 38.1±1.5. In 132 cases, for whom T=4, 57 received conservative treatment while the rest 75 underwent PKP/PVP. The VAS score decreased from 8.2±1.4 to 1.9±1.2; the ODI score decreased from 71.5±3.7 to 36.2±2.5. In the group where T≥5, all 158 cases undergone surgery with a restoration of both VAS and ODI score from 8.1±1.6 to 1.8±1.3 and from 70.5±2.6 to 39.2±1.7 respectively. Conclusions: The proposed assessment system based on severity of thoracolumbar osteoporotic fracture can be used to guide clinical treatment, though efficacy needs further inspection.
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