Clinical and functional evaluation of patients with compression and burst thoracolumbar fractures treated non surgically

• Grant number: 15/09848-8
• Support Opportunities: Scholarships in Brazil - Scientific Initiation
• Start date: September 01, 2015
• End date: August 31, 2016
• Field of knowledge: Health Sciences - Medicine - Surgery
• Principal Investigator: Andrei Fernandes Joaquim
• Grantee: Felipe Soares da Silva
• Host Institution: Faculdade de Ciências Médicas (FCM). Universidade Estadual de Campinas (UNICAMP). Campinas , SP, Brazil

Abstract

Fractures of the thoracic and lumbar (TL) spine are extremely common, occurring in about 90% of all spinal fractures. Most of the times they occurred from T11 to L2, a transition area of high stress between the rigidity thoracic spine and the greater mobility of the lumbar spine. Thoracolumbar fractures are classified by a wide range of systems. One of the most accepted was proposed by Vaccaro et al in 2013 who divides the injuries in three main groups: A, B and C. Fractures of group A are compression and burst fractures, secondary to load injuries in flexion. In the absence of neurological deficits, both compression and burst fractures can be managed conservatively. However, some patients may develop functional limitation and pain, by unknown reasons. The objective of this study is assessing clinical status of patients with type A TL fractures without neurological deficits using the ODI (Oswestry Disability Index) and SF-36, correlating the data obtained with the radiological characteristics of the fractures. Potential radiological factors who may affect the final outcome may be important for considering surgical treatment in those selected cases.

Scientific publications

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

JOAQUIM, ANDREI FERNANDES; RODRIGUES, SERGIO AUGUSTO; DA SILVA, FELIPE SOARES; DA SILVA, OTAVIO TUROLO; GHIZONI, ENRICO; TEDESCHI, HELDER; SCHROEDER, GREGORY D.; VACCARO, ALEXANDER R.; PATEL, ALPESH A.. Is There an Association With Spino-Pelvic Relationships and Clinical Outcome of Type A Thoracic and Lumbar Fractures Treated Non-Surgically?. INTERNATIONAL JOURNAL OF SPINE SURGERY, v. 12, n. 3, p. 371-376, JAN 1 2018. (15/09848-8)