ArticleNeurospine2023
Therapeutic Prediction of Osteoporotic Vertebral Compression Fracture Using the AO Spine-DGOU Osteoporotic Fracture Classification and Classification-Based Score: A Single-Center Retrospective Observational Study.
Article in Neurospine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 15 citations in OpenAlex.
- Osteoporotic thoracolumbar fractures: age-modified Osteoporotic Fracture-based treatment decisions and length of hospital stay in elderly patients - a prospective single-centre cohort study.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 · 2026Article
- Validation of the AO Spine Osteoporotic Fracture Classification-effect of geographical region on reliability and reproducibility.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026Article
- Prognostic value of the "modified Osteoporotic Fracture score" for treatment decision in osteoporotic vertebral fractures.BMC musculoskeletal disorders · 2026Article
- Optimized OF-Score- Therapy Prediction in Successfully Treated Patients With Osteoporotic Spine Fractures Using Minimal Clinically Important Difference.Global spine journal · 2026Article
- OF-score for osteoporotic thoracolumbar fractures- which parameter is decisive for the therapy decision? - a prospective multicentric cohort study.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 · 2025Article
- [Robotically assisted and minimally invasive pedicle screw placement at the lumbar spine].Unfallchirurgie (Heidelberg, Germany) · 2025Article
- Surgical Considerations in Osteoporotic Dorso-Lumbar Spine Fractures.Indian journal of orthopaedics · 2025Review
- Efficacy and safety of erector spinae plane block for the treatment of osteoporotic vertebral compressive fractures.American journal of translational research · 2025Article
- Using Key Predictors in an SVM Model for Differentiating Spinal Fractures and Herniated Intervertebral Discs in Preoperative Anesthesia Evaluation.Diagnostics (Basel, Switzerland) · 2024Article
- A computed tomography-based morphometric analysis of thoracic pedicles in a European population.Journal of orthopaedic surgery and research · 2024Article
- The value of quantitative analysis of radionuclide bone SPECT/CT imaging in vertebral compression fracture: a retrospective study.BMC medical imaging · 2024Article
- A Comparative Analysis of International Classification Systems to Predict the Risk of Collapse in Single-Level Osteoporotic Vertebral Fractures.Diagnostics (Basel, Switzerland) · 2024Article
- Article
- Promotion of Bone Formation in a Rat Osteoporotic Vertebral Body Defect Model via Suppression of Osteoclastogenesis by Ectopic Embryonic Calvaria Derived Mesenchymal Stem Cells.International journal of molecular sciences · 2024Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe treatment of osteoporotic vertebral compression fractures (OVCFs) is based on their severity; however, an efficient prediction tool is lacking. We aimed to evaluate the validity of the osteoporotic fracture classification (OF classification) and scoring system (OF score) in predicting the treatment strategy for patients with OVCF, defined according to the Japanese criteria.
methodsWe retrospectively investigated 487 consecutive patients diagnosed with vertebral body fractures between January 2018 and December 2022. Only patients with their fresh vertebral fracture episode during the study period were included. Patients were classified into 3 groups: conservative treatment, balloon kyphoplasty (BKP), and open surgery. OF classification and OF scores were assessed for each patient.
resultsA total of 237 patients with OVCF were included. There were 127, 81, and 29 patients in the conservative, BKP, and open surgery groups, respectively. The OF score was significantly higher in the BKP and open surgery groups than in the conservative group (p < 0.001). Multivariate logistic regression analysis showed that antiosteoporotic drug use, OF classification, progressive deformity, neurological symptoms and mobilization were independent risk factors for operative treatment (all p < 0.001). Receiver operating characteristic analysis showed that the cutoff OF score for operative indication was 5.5, with a sensitivity of 91.9%, specificity of 56.5%, and area under the curve of 0.820 (95% confidence interval, 0.769-0.871).
conclusionThe OF score identified patients who required operative treatment with a high degree of accuracy. This is especially important for ruling out patients who definitely require operative treatment.
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