Trial reportEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2017
Does spinopelvic alignment affect the union status in thoracolumbar osteoporotic vertebral compression fracture?
Trial report in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed.
- Association Between Lower Instrumented Vertebra Selection and Mechanical Complications After Surgical Correction for Kyphotic Deformity Following Osteoporotic Vertebral Fracture.Journal of clinical medicine · 2026Article
- Multidisciplinary and Coordinated Management of Osteoporotic Vertebral Compression Fractures: Current State of the Art.Journal of clinical medicine · 2024Review
- Predictive factors for conversion from conservatively to surgically treatment osteoporotic thoracolumbar compression fractures based on sagittal parameters and magnetic resonance imaging features.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- Machine-learning-based approach for nonunion prediction following osteoporotic vertebral fractures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023Article
- The effects of biomechanical factors on adjacent vertebral compression fractures after percutaneous kyphoplasty: a propensity score matching analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Article
- Physical Functions and Comorbidity Affecting Collapse at 4 or More Weeks after Admission in Patients with Osteoporotic Vertebral Fractures: A Prospective Cohort Study.Asian spine journal · 2022Article
- Risk Factors for Failure in Conservatively Treated Osteoporotic Vertebral Fractures: A Systematic Review.Global spine journal · 2022Article
- Vertebroplasty for osteoporotic vertebral fracture.RMD open · 2021Review
- Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures.Journal of clinical medicine · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIn the healing of osteoporotic vertebral fracture, global spinal mal-alignment might increase the load sharing at the fracture site and deteriorate the fracture healing. This study aimed to evaluate the effect of spinopelvic alignment on the union status of thoracolumbar osteoporosis-related vertebral compression fracture (OVCF).
methodsConsecutive 48 patients with a single-level thoracolumbar fresh OVCF were treated non-operatively. Union was judged by three independent observers at 6 months, and patients were divided into union group and non-union group. Spinopelvic alignment was measured using upright whole spine radiograph before treatment as follows: pelvic incidence (PI), pelvic tilt (PT), lumbar lordosis (LL), thoracic kyphosis (TK), sagittal vertical axis (SVA), and DSVA, defined as the distance from a plumb line dropped from the center of the C7 body to the center of fractured vertebral body.
resultGlobal spinal alignment was different in union group and non-union group: SVA (4.7 ± 0.7 cm in union group vs. 8.9 ± 1.3 cm in non-union group, P = 0.007), DSVA (4.2 ± 0.6 cm in union group vs. 9.5 ± 1.0 cm in non-union group, P < 0.001), and PI-LL (18.9° ± 2.2° in union group vs. 30.3° ± 3.9° in non-union group, P = 0.014). Over 5 cm of DSVA [P = 0.022, adjusted odds 7.9 (95 % CI 1.3-77.0)] and/or over 30° of PI-LL [P = 0.026, adjusted odds 6.6 (95 % CI 1.5-44.2)] showed the significant risk factors for non-union using multivariate logistic regression analysis in the other background status.
conclusionsGlobal spinal mal-alignment, showing over 5 cm of DSVA and/or over 30° of PI-LL, affected the union status of OVCF.
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