Risk of long-term infection-related death in clinical osteoporotic vertebral fractures: A hospital-based analysis

Chen, Ying-Chou; Lin, Wei-Che

doi:10.1371/journal.pone.0182614

Cited by 16 publications

(15 citation statements)

References 24 publications

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“…Of these twelve patients, 5 patients (41.67%) died during their in-hospital stay (4 proximal femoral fractures, 1 hip prosthesis traumatic dislocation). Patients died on average, 8.2 days [4][5][6][7][8][9][10][11][12][13][14] after hospitalization. The remaining seven patients were discharged after a prolonged hospital stay.…”

Section: Our Experiencementioning

confidence: 99%

Letter to the editor on the outcomes in fracture patients infected with COVID-19.

Rizkallah

Melhem

Sadeqi

et al. 2020

Injury

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Letter to the editor on the outcomes in fracture patients infected with COVID-19. Dear editor, In January 2020, China's center of disease control identified a novel coronavirus(COVID-19) as responsible of a cluster of respiratory infections [1, 2]. This virus rapidly spread through the world, and the World Health Organization (WHO) declared the outbreak a Pandemic [3-5]. In France, the situation became worrisome and evolved quickly despite lockdown [6, 7]. Local health authorities urged hospitals to cancel scheduled surgeries and to deal only with emergent cases. In orthopedics, this meant dealing mainly with surgical trauma patients. Being conscious that patients with fracture are very susceptible to pneumonia, strict preventive and protective measures were offered to all patients [8, 9]. Some trauma patients presented with covid-19 infection and we wondered if these patients with emergent fractures (spine, hip, ankle..) should be operated. Available literature shows only one report from Wuhan reporting their experience with fracture patients infected with Covid-19, and one paper from Italy showing their experience on 13 Covid-19 operated trauma patients [10, 11]. Through this letter, we share with you our in-crisis experience as an orthopedic surgery department from France, so we can draw conclusions, lessons, and be ready for a possible second epidemic surge.

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Section: Our Experiencementioning

confidence: 99%

Letter to the editor on the outcomes in fracture patients infected with COVID-19.

Rizkallah

Melhem

Sadeqi

et al. 2020

Injury

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“…COVID-19, which started to be a big problem for the whole world after March 2020, began to change the surgical trends. COVID-19's highly contagious feature, transmission by droplet, contact and air, and being infectious even without specific symptoms during the incubation period and susceptibility to pulmonary infection in patients especially with lower-limb fracture are major concerns in the treatment of fracture patients [5]. The simplest rule to prevent contamination is to avoid exposure to the virus.…”

Section: Discussionmentioning

confidence: 99%

“…It has been shown that there can be a transmission from patients to surgeons, as well as from surgeons to patients. COVID-19 infection may also develop in some patients after surgical treatment because orthopedic surgeries tend to produce more aerosols and droplets due to use of high-speed operative devices [5].…”

Section: Introductionmentioning

confidence: 99%

Novel Surgical Indications at COVID-19 Pandemic? Did COVID-19 Pandemic Narrow the Spectrum of Surgical Indications?

Karslioglu¹

2021

TRAUMA

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Background. The COVID-19 outbreak changed orthopedic practices more than we thought. We are going through a period in which conservative treatment will become prominent when deciding on fractures with indistinct surgical margins in guidelines. Considering global tendency for surgical interventions in the pre-pandemic period, we tried to find out the answer to the following question: will conservative treatment be the shining star in the post pandemic period? Materials and methods. 262 patients who were with “gray zone fractures-injuries” like extraarticular distal radius fracture, proximal humerus fracture and Weber type B ankle fracture were treated conservatively during March 11, 2020 and 11 August, 2020. Open or pathological fracture, fractures with vascular or neurological injury and fractures involving the articular joint were excluded. Results. 59 patients with proximal humerus fracture followed with arm-sling. Mean ASES scores at 6th was 48.3 and 69.9 12th week. 91 patients with Weber B-type ankle fracture were followed up with below-knee plaster for 6 weeks. American Orthopedic Foot & Ankle Score was 48 in the 6th week and 75 in the 12th week. 90 patients with distal radius fracture were followed up with plaster. Malunion was detected at 5 patients. Mean Quick Dash score at 6th weeks was 52.3 and 29.5 at 12 th weeks. Mean wrist flexion was 450, wrist extension was 35º, forearm supination 60º and forearm pronation was 70º at final control. Conclusions. The conservative treatment experiences we have gained from pandemic periods will change our treatment algorithm, unless it is overshadowed by our ambition to perform surgery for different reasons.

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“…In turn, mobility is inextricably linked to functional improvement. 25 Furthermore, pain may impair respiratory function which is of particular importance given Chen et al 6 emphasized that chest infection is the leading cause of death in OVFs. This review uncovered moderate-quality evidence that both FEV1 and vital capacity is likely to be improved by wearing a spinal orthosis, further advocating for spinal orthosis use.…”

Section: Discussionmentioning

confidence: 99%

The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

Kweh

Lee

Tan

et al. 2020

Global Spine Journal

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Study Design: Systematic review. Objective: Spinal orthoses have been generally used in the management of osteoporotic vertebral fractures in the elderly population with purported positive biomechanical and functional effects. To our knowledge, this is the first systematic review of the literature examining the role of spinal orthoses in osteoporotic elderly patients who sustain low energy trauma vertebral fractures. Methods: A systematic literature review adherent to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Methodical searches utilizing MEDLINE, EMBASE, Google Scholar, and Cochrane Databases was performed. Results: Of the 2019 articles initially retrieved, 7 published articles (4 randomized controlled trials and 3 prospective cohort studies) satisfied the inclusion criteria. Five studies reported improvement in quantitative measurements of spinal column stability when either a rigid or semirigid orthosis was used, while 1 study was equivocal. The studies also showed the translation of biomechanical benefit into significant functional improvement as manifested by improved postural stability and reduced body sway. Subjective improvement in pain scores and quality of life was also noted with bracing. Conclusion: The use of spinal orthoses in neurologically intact elderly patients aged 60 years and older with osteoporotic compression vertebral fractures results in improved biomechanical vertebral stability, reduced kyphotic deformity, enhanced postural stability, greater muscular strength and superior functional outcomes.

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Risk of long-term infection-related death in clinical osteoporotic vertebral fractures: A hospital-based analysis

Cited by 16 publications

References 24 publications

Letter to the editor on the outcomes in fracture patients infected with COVID-19.

Letter to the editor on the outcomes in fracture patients infected with COVID-19.

Novel Surgical Indications at COVID-19 Pandemic? Did COVID-19 Pandemic Narrow the Spectrum of Surgical Indications?

The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

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