Determination of Any Correlation between Sagital Spinopelvic Confguration and Progressive Collapse of Acute Osteoporotic Compression Spine Fractures: A Retrospective Radiological Analysis

Yossi Smorgick*, Alex Gefler, Sergey Goldstein, Yigal Mirovsky, Ronen Blecher, Yoram Anekstein

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Study Design: A retrospective cohort study. Purpose: The aim of this study was to determine any correlations between spinopelvic confguration and progressive collapse following acute osteoporotic compression spine fractures. Overview of Literature: Few studies have investigated the risk factors for progressive osteoporotic compression spine fractures. However, the correlation between the spinopelvic confguration, which is a crucial to optimize the management of lumbar degenerative diseases, and progressive collapse following acute osteoporotic compression spine fractures was not analyzed. Methods: We retrospectively identifed all patients treated for thoracolumbar fractures in Assaf Harofe Medical Center between January 2008 and July 2013. Pelvic incidence (PI), sacral slope (SS), and pelvic tilt (PT) were measured for the pelvic parameters. For each patient, we classifed the fracture according to the AOSpine Thoracolumbar Spine Injury Classifcation System. Height loss was measured initially and at a minimum of 3-month follow-up. The difference between initial and fnal height loss was documented as height loss difference. Results: The study included 124 patients comprised 86 women and 38 men. The mean patient age was 69±9.6 years. The mean length of follow-up was 14±15 months. No signifcant effect of the PI, PT, and SS angles on the vertebral fracture level (p=0.05) was found. Similarly, no signifcant relationship between the PI, PT, and SS angle and the fracture type according to the AO classifcation (p=0.05) was found. There was no correlation between PI, PT, and SS angles and initial height loss, fnal height loss and height loss difference (p=0.05) Conclusions: The spinopelvic confguration represented by the PI, PT, and SS angle does not infuence progressive collapse following acute osteoporotic compression spine fractures.

Original languageEnglish
Pages (from-to)872-877
Number of pages6
JournalAsian Spine Journal
Volume14
Issue number6
DOIs
StatePublished - 2020

Keywords

  • Compression fractures
  • Osteoporotic fractures
  • Pelvic bones
  • Sacrum
  • Spine

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