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Clinical outcome after dorso-ventral stabilization of the thoracolumbar and lumbar spine with vertebral body replacement and dorsal stabilization

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Název: Clinical outcome after dorso-ventral stabilization of the thoracolumbar and lumbar spine with vertebral body replacement and dorsal stabilization
Autoři: K. Jäckle, L. Assmann, P. J. Roch, F. Klockner, M-P Meier, T. Hawellek, W. Lehmann, L. Weiser
Přispěvatelé: Jäckle, K., Assmann, L., Roch, P. J., Klockner, F., Meier, M-P, Hawellek, T., Lehmann, W., Weiser, L.
Zdroj: European Spine Journal. 33:4325-4335
Informace o vydavateli: Springer Science and Business Media LLC, 2024.
Rok vydání: 2024
Témata: Male, Adult, Female [MeSH], Thoracic Vertebrae/injuries [MeSH], Vertebral body replacement, Aged [MeSH], Adult [MeSH], Clinical outcome, Humans [MeSH], Treatment Outcome [MeSH], Thoracotomy, Middle Aged [MeSH], Thoracic Vertebrae/surgery [MeSH], Original Article, Thoracic Vertebrae/diagnostic imaging [MeSH], Lumbotomy, Male [MeSH], Lumbar Vertebrae/surgery [MeSH], Lumbar Vertebrae/diagnostic imaging [MeSH], Spinal Fusion/methods [MeSH], Spinal Fractures/surgery [MeSH], Spine surgery, Vertebral Body/surgery [MeSH], Lumbar Vertebrae, Vertebral Body, Middle Aged, Thoracic Vertebrae, 3. Good health, 03 medical and health sciences, Treatment Outcome, Spinal Fusion, 0302 clinical medicine, Humans, Spinal Fractures, Female, Aged
Popis: Purpose Surgical stabilization of the spine by vertebral body replacement (VBR) is used for spinal disorders such as traumatic fractures to provide an anatomical re-adjustment of the spine to prevent late detrimental effects and pain [1–4]. This study addresses the clinical outcome after a ventral intervention with VBR and bisegmental fusion. Methods The study includes 76 patients (mean age: 59.34 ± 15.97; 34 females and 42 males) with fractures in the lower thoracic and lumbar spine. They were selected from patients of our hospital who received an anterolateral VBR surgery on the corresponding lower spine region over a nine-year period. Only patients were examined with X-rays and complete follow-up records. Exclusion criteria were changes due to degeneration and pathological fractures. Patients were divided into two groups, the thoracotomy group (Th10-L1) and the lumbotomy group (L2-5), respectively. Minimum one year after surgery, patients were asked about their well-being using a precasted questionnaire. Results No significant differences with respect to the subjective impression of the patients concerning their back pain, spinal functional impairment, their general functional status and their quality of life impairment. Unfortunately, however, only a rather modest but significant increase of the post-surgical life quality was reported. Conclusions Patients who underwent VBR in the lower thoracic or lumbar spine show modest long-term well-being. The results suggest that injuries to the lower thoracic or lumbar spine requiring vertebral body replacement should be classified as severe injuries since they adversely affect the patients’ long-term well-being. Trial registration Study of clinical outcome of patients after vertebral body replacement of the ventral thoracal and lumbal spine, DRKS00031452. Registered 10th March 2023 - Prospectively registered. Trial registration number DRKS00031452.
Druh dokumentu: Article
Jazyk: English
ISSN: 1432-0932
0940-6719
DOI: 10.1007/s00586-024-08324-4
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/38811437
https://resolver.sub.uni-goettingen.de/purl?gro-2/143650
https://repository.publisso.de/resource/frl:6523844
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....a3e4241a7ed1adf7a3fcf3635dd881b0
Databáze: OpenAIRE
Popis
Abstrakt:Purpose Surgical stabilization of the spine by vertebral body replacement (VBR) is used for spinal disorders such as traumatic fractures to provide an anatomical re-adjustment of the spine to prevent late detrimental effects and pain [1–4]. This study addresses the clinical outcome after a ventral intervention with VBR and bisegmental fusion. Methods The study includes 76 patients (mean age: 59.34 ± 15.97; 34 females and 42 males) with fractures in the lower thoracic and lumbar spine. They were selected from patients of our hospital who received an anterolateral VBR surgery on the corresponding lower spine region over a nine-year period. Only patients were examined with X-rays and complete follow-up records. Exclusion criteria were changes due to degeneration and pathological fractures. Patients were divided into two groups, the thoracotomy group (Th10-L1) and the lumbotomy group (L2-5), respectively. Minimum one year after surgery, patients were asked about their well-being using a precasted questionnaire. Results No significant differences with respect to the subjective impression of the patients concerning their back pain, spinal functional impairment, their general functional status and their quality of life impairment. Unfortunately, however, only a rather modest but significant increase of the post-surgical life quality was reported. Conclusions Patients who underwent VBR in the lower thoracic or lumbar spine show modest long-term well-being. The results suggest that injuries to the lower thoracic or lumbar spine requiring vertebral body replacement should be classified as severe injuries since they adversely affect the patients’ long-term well-being. Trial registration Study of clinical outcome of patients after vertebral body replacement of the ventral thoracal and lumbal spine, DRKS00031452. Registered 10th March 2023 - Prospectively registered. Trial registration number DRKS00031452.
ISSN:14320932
09406719
DOI:10.1007/s00586-024-08324-4