ArticleThe open orthopaedics journal2016
Radiological Prediction of Posttraumatic Kyphosis After Thoracolumbar Fracture.
Article in The open orthopaedics journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Radiologic factors in thoracolumbar burst fractures with versus without neurologic deficit: a systematic review and meta-analysis.Spinal cord · 2026Pooled it
- Treatment strategies for incomplete burst fractures (AO Spine A3) at the thoracolumbar junction -results of a nationwide German survey.Brain & spine · 2026Article
- Relationship between spinal alignment and functional disability after thoracolumbar spinal fractures: A systematic review.North American Spine Society journal · 2024Article
- Article
- Factors influencing vertebral collapse in osteoporotic vertebral fractures: a case-control study of symptomatic patients attended in the emergency department.Archives of osteoporosis · 2023Article
- Radiographic Outcomes of Conservative and Operative Treatment in Isolated L1 Fractures.Medicina (Kaunas, Lithuania) · 2023Article
- Junctional Kyphosis after Correction with Long Instrumentation for Late Posttraumatic Thoracolumbar Kyphosis: Characteristics and Risk Factors.Orthopaedic surgery · 2023Article
- Molecular targeted therapy for metastatic colorectal cancer: current and evolving approaches.Frontiers in pharmacology · 2023Review
- Incidence and Associated Factors for Kyphosis Progression in Short-Segment Fixation Thoracolumbar Spine Fractures.International journal of spine surgery · 2022Article
- Analysis of the Classification Systems for Thoracolumbar Fractures in Adults and Their Evolution and Impact on Clinical Management.Journal of clinical medicine · 2022Review
- Clinical and Radiological Factors Affecting Thoracolumbar Fractures Outcome: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Kyphosis After Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Classification and Radiological Diagnosis of Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations.Neurospine · 2021Article
- Reliability and Clinical Usefulness of Current Classifications in Traumatic Thoracolumbar Fractures: A Systematic Review of the Literature.International journal of spine surgery · 2020Article
- Treatment of Fractures of the Thoracolumbar Spine: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).Global spine journal · 2018Article
- A Comparison of Three Different Methods of Fixation in the Management of Thoracolumbar Fractures.International journal of spine surgery · 2018Article
- A Comparison of Three Different Methods of Fixation in the Management of Thoracolumbar Fractures.International journal of spine surgery · 2017Article
- Crosslink augmentation in posterior fixation of unstable thoracic and thoracolumbar fractures: A comparative cohort study of mechanical failure and sagittal alignment.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesClassification methods that are currently being used for clinical decision making in thoracolumbar fractures, are limited by reproducibility and prognostic value. Additionally, they do not include kyphosis. As a posttraumatic kyphosis is related to persistent pain, it is of importance to determine a risk of posttraumatic kyphosis based on fracture type and patient characteristics. PURPOSE: To determine risk factors (AO classification, age, gender, localization) that may lead to progressive kyphosis after a thoracolumbar fracture. MATERIALS AND
methodsRetrospective radiographic analysis of a consecutive patientcohort that presented in our clinic with a traumatic fracture of the thoracolumbar spine between 2004 and 2011. Cobb angle, Gardner angle, vertebral compression angle and anterior vertebral body compression were measured on plain radiographs, direct post-trauma and at follow-up.
resultsAge and localization are not significantly correlated, but there seems to be an increased risk of progression of kyphosis in age > 50 years and fractures localized at Th12 or L1. A3 type fractures are significantly more at risk for posttraumatic kyphosis compared to A1 and A2 type fractures. 30-50% of the A3 type fractures have an end Gardner angle and end vertebral compression angle of more than 20 degrees.
conclusionAO-type A3 fractures appear to be at risk of progression of kyphosis. Localization at Th12-L1 and age above 50 years seem to be risk factors for significant posttraumatic kyphosis. These findings should be used in patient counseling and a meticulous evaluation by weekly radiographs is recommended to determine the treatment strategy of thoracolumbar fractures.
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