Planung, Vorbereitung und Kontrolle bei traumatisch bedingten Eingriffen im Bereich der BWS und LWS

Adermann, Jens; Schmidt, Christian; Josten, Christoph

doi:10.1055/s-0030-1271015

Cited by 1 publication

(1 citation statement)

References 15 publications

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“…International classification of diseases L Lumbar vertebrae NRS Numeric rating scale Th Thoracal vertebrae ODI Oswestry disability index VAS-Spine Score Visual analogue scale-spine score injury are traffic accidents and falls from higher altitudes [7] which affect primarily the thoracic and lumbar spine [8,9].…”

Section: Icdmentioning

confidence: 99%

Clinical outcome after dorso-ventral stabilization of the thoracolumbar and lumbar spine with vertebral body replacement and dorsal stabilization

Jäckle,

Assmann,

Roch

et al. 2024

Eur Spine J

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Purpose Surgical stabilization of the spine by vertebral body replacement (VBR) is used for spinal disorders such as traumatic fractures to provide an anatomical re-adjustment of the spine to prevent late detrimental effects and pain [1–4]. This study addresses the clinical outcome after a ventral intervention with VBR and bisegmental fusion. Methods The study includes 76 patients (mean age: 59.34 ± 15.97; 34 females and 42 males) with fractures in the lower thoracic and lumbar spine. They were selected from patients of our hospital who received an anterolateral VBR surgery on the corresponding lower spine region over a nine-year period. Only patients were examined with X-rays and complete follow-up records. Exclusion criteria were changes due to degeneration and pathological fractures. Patients were divided into two groups, the thoracotomy group (Th10-L1) and the lumbotomy group (L2-5), respectively. Minimum one year after surgery, patients were asked about their well-being using a precasted questionnaire. Results No significant differences with respect to the subjective impression of the patients concerning their back pain, spinal functional impairment, their general functional status and their quality of life impairment. Unfortunately, however, only a rather modest but significant increase of the post-surgical life quality was reported. Conclusions Patients who underwent VBR in the lower thoracic or lumbar spine show modest long-term well-being. The results suggest that injuries to the lower thoracic or lumbar spine requiring vertebral body replacement should be classified as severe injuries since they adversely affect the patients’ long-term well-being. Trial registration Study of clinical outcome of patients after vertebral body replacement of the ventral thoracal and lumbal spine, DRKS00031452. Registered 10th March 2023 - Prospectively registered. Trial registration number DRKS00031452.

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Section: Icdmentioning

confidence: 99%