Home | Magazines | Editorial Board | Instruction | Subscribe Guide | Archive | Advertising | Template | Guestbook | Help |
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 |
Fund: |
|
Hits: 3185 |
Download times: 2871 |
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. |
View Full Text View/Add Comment Download reader |
Close |
|
|
|
|
|