Vertebral body osteonecrosis: proposal of a treatment-oriented classification system
Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has bee...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Formica, Matteo [verfasserIn] Zanirato, Andrea [verfasserIn] Cavagnaro, Luca [verfasserIn] Basso, Marco [verfasserIn] Divano, Stefano [verfasserIn] Lamartina, Claudio [verfasserIn] Berjano, Pedro [verfasserIn] Felli, Lamberto [verfasserIn] Formica, Carlo [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2018 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: European spine journal - Berlin : Springer, 1992, 27(2018), Suppl 2 vom: 16. Apr., Seite 190-197 |
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| Übergeordnetes Werk: |
volume:27 ; year:2018 ; number:Suppl 2 ; day:16 ; month:04 ; pages:190-197 |
| Links: |
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| DOI / URN: |
10.1007/s00586-018-5600-6 |
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| Katalog-ID: |
SPR006939392 |
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| 520 | |a Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. | ||
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| 650 | 4 | |a Sagittal alignment |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Adult deformity |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Zanirato, Andrea |e verfasserin |4 aut | |
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| 700 | 1 | |a Divano, Stefano |e verfasserin |4 aut | |
| 700 | 1 | |a Lamartina, Claudio |e verfasserin |4 aut | |
| 700 | 1 | |a Berjano, Pedro |e verfasserin |4 aut | |
| 700 | 1 | |a Felli, Lamberto |e verfasserin |4 aut | |
| 700 | 1 | |a Formica, Carlo |e verfasserin |4 aut | |
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10.1007/s00586-018-5600-6 doi (DE-627)SPR006939392 (SPR)s00586-018-5600-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Formica, Matteo verfasserin aut Vertebral body osteonecrosis: proposal of a treatment-oriented classification system 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. Vertebral osteonecrosis (dpeaa)DE-He213 Vertebral non-union (dpeaa)DE-He213 Classification (dpeaa)DE-He213 Sagittal alignment (dpeaa)DE-He213 Adult deformity (dpeaa)DE-He213 Zanirato, Andrea verfasserin aut Cavagnaro, Luca verfasserin aut Basso, Marco verfasserin aut Divano, Stefano verfasserin aut Lamartina, Claudio verfasserin aut Berjano, Pedro verfasserin aut Felli, Lamberto verfasserin aut Formica, Carlo verfasserin aut Enthalten in European spine journal Berlin : Springer, 1992 27(2018), Suppl 2 vom: 16. Apr., Seite 190-197 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:27 year:2018 number:Suppl 2 day:16 month:04 pages:190-197 https://dx.doi.org/10.1007/s00586-018-5600-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 ASE AR 27 2018 Suppl 2 16 04 190-197 |
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10.1007/s00586-018-5600-6 doi (DE-627)SPR006939392 (SPR)s00586-018-5600-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Formica, Matteo verfasserin aut Vertebral body osteonecrosis: proposal of a treatment-oriented classification system 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. Vertebral osteonecrosis (dpeaa)DE-He213 Vertebral non-union (dpeaa)DE-He213 Classification (dpeaa)DE-He213 Sagittal alignment (dpeaa)DE-He213 Adult deformity (dpeaa)DE-He213 Zanirato, Andrea verfasserin aut Cavagnaro, Luca verfasserin aut Basso, Marco verfasserin aut Divano, Stefano verfasserin aut Lamartina, Claudio verfasserin aut Berjano, Pedro verfasserin aut Felli, Lamberto verfasserin aut Formica, Carlo verfasserin aut Enthalten in European spine journal Berlin : Springer, 1992 27(2018), Suppl 2 vom: 16. Apr., Seite 190-197 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:27 year:2018 number:Suppl 2 day:16 month:04 pages:190-197 https://dx.doi.org/10.1007/s00586-018-5600-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 ASE AR 27 2018 Suppl 2 16 04 190-197 |
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10.1007/s00586-018-5600-6 doi (DE-627)SPR006939392 (SPR)s00586-018-5600-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Formica, Matteo verfasserin aut Vertebral body osteonecrosis: proposal of a treatment-oriented classification system 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. Vertebral osteonecrosis (dpeaa)DE-He213 Vertebral non-union (dpeaa)DE-He213 Classification (dpeaa)DE-He213 Sagittal alignment (dpeaa)DE-He213 Adult deformity (dpeaa)DE-He213 Zanirato, Andrea verfasserin aut Cavagnaro, Luca verfasserin aut Basso, Marco verfasserin aut Divano, Stefano verfasserin aut Lamartina, Claudio verfasserin aut Berjano, Pedro verfasserin aut Felli, Lamberto verfasserin aut Formica, Carlo verfasserin aut Enthalten in European spine journal Berlin : Springer, 1992 27(2018), Suppl 2 vom: 16. Apr., Seite 190-197 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:27 year:2018 number:Suppl 2 day:16 month:04 pages:190-197 https://dx.doi.org/10.1007/s00586-018-5600-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 ASE AR 27 2018 Suppl 2 16 04 190-197 |
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10.1007/s00586-018-5600-6 doi (DE-627)SPR006939392 (SPR)s00586-018-5600-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Formica, Matteo verfasserin aut Vertebral body osteonecrosis: proposal of a treatment-oriented classification system 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. Vertebral osteonecrosis (dpeaa)DE-He213 Vertebral non-union (dpeaa)DE-He213 Classification (dpeaa)DE-He213 Sagittal alignment (dpeaa)DE-He213 Adult deformity (dpeaa)DE-He213 Zanirato, Andrea verfasserin aut Cavagnaro, Luca verfasserin aut Basso, Marco verfasserin aut Divano, Stefano verfasserin aut Lamartina, Claudio verfasserin aut Berjano, Pedro verfasserin aut Felli, Lamberto verfasserin aut Formica, Carlo verfasserin aut Enthalten in European spine journal Berlin : Springer, 1992 27(2018), Suppl 2 vom: 16. Apr., Seite 190-197 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:27 year:2018 number:Suppl 2 day:16 month:04 pages:190-197 https://dx.doi.org/10.1007/s00586-018-5600-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 ASE AR 27 2018 Suppl 2 16 04 190-197 |
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10.1007/s00586-018-5600-6 doi (DE-627)SPR006939392 (SPR)s00586-018-5600-6-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Formica, Matteo verfasserin aut Vertebral body osteonecrosis: proposal of a treatment-oriented classification system 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. Vertebral osteonecrosis (dpeaa)DE-He213 Vertebral non-union (dpeaa)DE-He213 Classification (dpeaa)DE-He213 Sagittal alignment (dpeaa)DE-He213 Adult deformity (dpeaa)DE-He213 Zanirato, Andrea verfasserin aut Cavagnaro, Luca verfasserin aut Basso, Marco verfasserin aut Divano, Stefano verfasserin aut Lamartina, Claudio verfasserin aut Berjano, Pedro verfasserin aut Felli, Lamberto verfasserin aut Formica, Carlo verfasserin aut Enthalten in European spine journal Berlin : Springer, 1992 27(2018), Suppl 2 vom: 16. Apr., Seite 190-197 (DE-627)268757550 (DE-600)1472721-3 1432-0932 nnns volume:27 year:2018 number:Suppl 2 day:16 month:04 pages:190-197 https://dx.doi.org/10.1007/s00586-018-5600-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 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_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.83 ASE AR 27 2018 Suppl 2 16 04 190-197 |
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Vertebral osteonecrosis Vertebral non-union Classification Sagittal alignment Adult deformity |
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Formica, Matteo @@aut@@ Zanirato, Andrea @@aut@@ Cavagnaro, Luca @@aut@@ Basso, Marco @@aut@@ Divano, Stefano @@aut@@ Lamartina, Claudio @@aut@@ Berjano, Pedro @@aut@@ Felli, Lamberto @@aut@@ Formica, Carlo @@aut@@ |
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Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. 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Formica, Matteo |
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Formica, Matteo ddc 610 bkl 44.83 misc Vertebral osteonecrosis misc Vertebral non-union misc Classification misc Sagittal alignment misc Adult deformity Vertebral body osteonecrosis: proposal of a treatment-oriented classification system |
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610 ASE 44.83 bkl Vertebral body osteonecrosis: proposal of a treatment-oriented classification system Vertebral osteonecrosis (dpeaa)DE-He213 Vertebral non-union (dpeaa)DE-He213 Classification (dpeaa)DE-He213 Sagittal alignment (dpeaa)DE-He213 Adult deformity (dpeaa)DE-He213 |
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ddc 610 bkl 44.83 misc Vertebral osteonecrosis misc Vertebral non-union misc Classification misc Sagittal alignment misc Adult deformity |
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ddc 610 bkl 44.83 misc Vertebral osteonecrosis misc Vertebral non-union misc Classification misc Sagittal alignment misc Adult deformity |
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Vertebral body osteonecrosis: proposal of a treatment-oriented classification system |
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Vertebral body osteonecrosis: proposal of a treatment-oriented classification system |
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Formica, Matteo Zanirato, Andrea Cavagnaro, Luca Basso, Marco Divano, Stefano Lamartina, Claudio Berjano, Pedro Felli, Lamberto Formica, Carlo |
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vertebral body osteonecrosis: proposal of a treatment-oriented classification system |
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Vertebral body osteonecrosis: proposal of a treatment-oriented classification system |
| abstract |
Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. |
| abstractGer |
Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. |
| abstract_unstemmed |
Purpose To present a classification system for vertebral body osteonecrosis (VBON) based on imaging findings and sagittal alignment and consequently to propose treatment guidelines. Methods Chart review and classification of imaging and clinical findings. An analysis of literature about VBON has been evaluated to conceive the classification. The current data allows to correlate radiological findings with different stages of the pathophysiological process and consequently to propose a patient-tailored treatment plan. Results The classification identifies 4 stages: stage 0 (theoretical phase), stage 1 (early phase), stage 2 (instability phase) and stage 3 (fixed deformity phase). Local (angular kyphosis expressed as anterior–posterior wall height ratio) and global (sagittal vertical axis and pelvic tilt) sagittal alignment are considered as complementary modifiers to tailor the most suitable treatment. Stage 1 is generally managed conservatively. Stage 2 and 3 often require different surgical approaches according to local and global sagittal alignment. Conclusions The classification allows a systematic staging of this disease and can help establish a proper and patient-oriented treatment plan. Further researches are advocated to fully validate the proposed classification system. Graphical abstract These slides can be retrieved under Electronic Supplementary Material. |
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| title_short |
Vertebral body osteonecrosis: proposal of a treatment-oriented classification system |
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https://dx.doi.org/10.1007/s00586-018-5600-6 |
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Zanirato, Andrea Cavagnaro, Luca Basso, Marco Divano, Stefano Lamartina, Claudio Berjano, Pedro Felli, Lamberto Formica, Carlo |
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Zanirato, Andrea Cavagnaro, Luca Basso, Marco Divano, Stefano Lamartina, Claudio Berjano, Pedro Felli, Lamberto Formica, Carlo |
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10.1007/s00586-018-5600-6 |
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2024-07-04T01:22:10.444Z |
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| score |
7.40226 |