Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures

The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bo...
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Autor*in:	Fu-Cheng Kao [verfasserIn] Yu-Jui Huang [verfasserIn] Ping-Yeh Chiu [verfasserIn] Ming-Kai Hsieh [verfasserIn] Tsung-Ting Tsai [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2019

Schlagwörter:	vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters

Übergeordnetes Werk:	In: Journal of Clinical Medicine - MDPI AG, 2013, 8(2019), 4, p 501
Übergeordnetes Werk:	volume:8 ; year:2019 ; number:4, p 501

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3390/jcm8040501

Katalog-ID:	DOAJ026427818

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allfields	10.3390/jcm8040501 doi (DE-627)DOAJ026427818 (DE-599)DOAJd9cecfd511c14defad2e77c7f9fbcb5c DE-627 ger DE-627 rakwb eng Fu-Cheng Kao verfasserin aut Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF. vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters Medicine R Yu-Jui Huang verfasserin aut Ping-Yeh Chiu verfasserin aut Ming-Kai Hsieh verfasserin aut Tsung-Ting Tsai verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 8(2019), 4, p 501 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:8 year:2019 number:4, p 501 https://doi.org/10.3390/jcm8040501 kostenfrei https://doaj.org/article/d9cecfd511c14defad2e77c7f9fbcb5c kostenfrei https://www.mdpi.com/2077-0383/8/4/501 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 4, p 501
spelling	10.3390/jcm8040501 doi (DE-627)DOAJ026427818 (DE-599)DOAJd9cecfd511c14defad2e77c7f9fbcb5c DE-627 ger DE-627 rakwb eng Fu-Cheng Kao verfasserin aut Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF. vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters Medicine R Yu-Jui Huang verfasserin aut Ping-Yeh Chiu verfasserin aut Ming-Kai Hsieh verfasserin aut Tsung-Ting Tsai verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 8(2019), 4, p 501 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:8 year:2019 number:4, p 501 https://doi.org/10.3390/jcm8040501 kostenfrei https://doaj.org/article/d9cecfd511c14defad2e77c7f9fbcb5c kostenfrei https://www.mdpi.com/2077-0383/8/4/501 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 4, p 501
allfields_unstemmed	10.3390/jcm8040501 doi (DE-627)DOAJ026427818 (DE-599)DOAJd9cecfd511c14defad2e77c7f9fbcb5c DE-627 ger DE-627 rakwb eng Fu-Cheng Kao verfasserin aut Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF. vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters Medicine R Yu-Jui Huang verfasserin aut Ping-Yeh Chiu verfasserin aut Ming-Kai Hsieh verfasserin aut Tsung-Ting Tsai verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 8(2019), 4, p 501 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:8 year:2019 number:4, p 501 https://doi.org/10.3390/jcm8040501 kostenfrei https://doaj.org/article/d9cecfd511c14defad2e77c7f9fbcb5c kostenfrei https://www.mdpi.com/2077-0383/8/4/501 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 4, p 501
allfieldsGer	10.3390/jcm8040501 doi (DE-627)DOAJ026427818 (DE-599)DOAJd9cecfd511c14defad2e77c7f9fbcb5c DE-627 ger DE-627 rakwb eng Fu-Cheng Kao verfasserin aut Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF. vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters Medicine R Yu-Jui Huang verfasserin aut Ping-Yeh Chiu verfasserin aut Ming-Kai Hsieh verfasserin aut Tsung-Ting Tsai verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 8(2019), 4, p 501 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:8 year:2019 number:4, p 501 https://doi.org/10.3390/jcm8040501 kostenfrei https://doaj.org/article/d9cecfd511c14defad2e77c7f9fbcb5c kostenfrei https://www.mdpi.com/2077-0383/8/4/501 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 4, p 501
allfieldsSound	10.3390/jcm8040501 doi (DE-627)DOAJ026427818 (DE-599)DOAJd9cecfd511c14defad2e77c7f9fbcb5c DE-627 ger DE-627 rakwb eng Fu-Cheng Kao verfasserin aut Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures 2019 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF. vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters Medicine R Yu-Jui Huang verfasserin aut Ping-Yeh Chiu verfasserin aut Ming-Kai Hsieh verfasserin aut Tsung-Ting Tsai verfasserin aut In Journal of Clinical Medicine MDPI AG, 2013 8(2019), 4, p 501 (DE-627)718632478 (DE-600)2662592-1 20770383 nnns volume:8 year:2019 number:4, p 501 https://doi.org/10.3390/jcm8040501 kostenfrei https://doaj.org/article/d9cecfd511c14defad2e77c7f9fbcb5c kostenfrei https://www.mdpi.com/2077-0383/8/4/501 kostenfrei https://doaj.org/toc/2077-0383 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2019 4, p 501
language	English
source	In Journal of Clinical Medicine 8(2019), 4, p 501 volume:8 year:2019 number:4, p 501
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topic_facet	vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters Medicine R
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authorswithroles_txt_mv	Fu-Cheng Kao @@aut@@ Yu-Jui Huang @@aut@@ Ping-Yeh Chiu @@aut@@ Ming-Kai Hsieh @@aut@@ Tsung-Ting Tsai @@aut@@
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author	Fu-Cheng Kao
spellingShingle	Fu-Cheng Kao misc vertebral compression fracture misc osteoporosis misc sagittal alignment misc spinopelvic parameters misc Medicine misc R Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures
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topic_title	Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures vertebral compression fracture osteoporosis sagittal alignment spinopelvic parameters
topic	misc vertebral compression fracture misc osteoporosis misc sagittal alignment misc spinopelvic parameters misc Medicine misc R
topic_unstemmed	misc vertebral compression fracture misc osteoporosis misc sagittal alignment misc spinopelvic parameters misc Medicine misc R
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title	Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures
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title_sort	factors predicting the surgical risk of osteoporotic vertebral compression fractures
title_auth	Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures
abstract	The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF.
abstractGer	The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF.
abstract_unstemmed	The aim of our study was to investigate the association between global spinal alignment, spinopelvic parameters, and outcomes of osteoporotic vertebral compression fractures (OVCF). Patients with vertebral compression fractures seen at our hospital between October 2017 and November of 2018 with a bone mineral density (BMD) T-score < −2.5 were recruited for the study. Surgical intervention was performed after eight weeks of conservative treatment depending on clinical symptoms and the willingness of patients. Spinopelvic and sagittal alignment parameters were compared between patients who had surgery and those that did not. Seventy-nine patients were included in the study. Twenty-five patients (31.6%, mean age: 73.28 ± 9.78 years) received surgery, and 54 (68.3%, mean age: 73 ± 8.58 years) conservative treatment only. Pelvic tilt, pelvic incidence, and local kyphotic angle were statistically different between the groups (all <i<p</i< < 0.05). A sagittal vertical axis ≥ 50 mm, distance between the C7 plumb line and the center of the fractured vertebra (DSVA) ≥ 60 mm, pelvic incidence outside of the range of 44 to 62°), and pelvic tilt ≥ 27° were associted with the need for surgical intervention. Measurement of spinopelvic parameters can predict the need for surgery in patients with OVCF.
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title_short	Factors Predicting the Surgical Risk of Osteoporotic Vertebral Compression Fractures
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