TY - JOUR
T1 - Determination of Any Correlation between Sagital Spinopelvic Confguration and Progressive Collapse of Acute Osteoporotic Compression Spine Fractures
T2 - A Retrospective Radiological Analysis
AU - Smorgick, Yossi
AU - Gefler, Alex
AU - Goldstein, Sergey
AU - Mirovsky, Yigal
AU - Blecher, Ronen
AU - Anekstein, Yoram
N1 - Publisher Copyright:
© 2020 by Korean Society of Spine Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - Compression fractures
KW - Osteoporotic fractures
KW - Pelvic bones
KW - Sacrum
KW - Spine
UR - http://www.scopus.com/inward/record.url?scp=85097297760&partnerID=8YFLogxK
U2 - 10.31616/ASJ.2019.0139
DO - 10.31616/ASJ.2019.0139
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AN - SCOPUS:85097297760
SN - 1976-1902
VL - 14
SP - 872
EP - 877
JO - Asian Spine Journal
JF - Asian Spine Journal
IS - 6
ER -