Dokument: The influence of sintering of osteoporotic vertebral fractures on the sagittal lumbar profile and degenerative changes
| Titel: | The influence of sintering of osteoporotic vertebral fractures on the sagittal lumbar profile and degenerative changes | |||||||
| URL für Lesezeichen: | https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=69287 | |||||||
| URN (NBN): | urn:nbn:de:hbz:061-20250410-113137-5 | |||||||
| Kollektion: | Publikationen | |||||||
| Sprache: | Englisch | |||||||
| Dokumententyp: | Wissenschaftliche Texte » Artikel, Aufsatz | |||||||
| Medientyp: | Text | |||||||
| Autoren: | Beyersdorf, Christoph [Autor] Prost, Max [Autor] Röckner, Melanie Elisabeth [Autor] Maus, Uwe Martin [Autor] Jacobs, Cornelius [Autor] Scheyerer, Max Joseph [Autor] | |||||||
| Dateien: |
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| Stichwörter: | Spinal stenosis, Spinal surgery, Osteoporosis, Vertebral body fracture, Degenerative spine disease | |||||||
| Beschreibung: | Background
Osteoporosis, a skeletal disorder affecting nearly 20% of the global population, poses a significant health concern, with osteoporotic vertebral body fractures (VBF) representing a common clinical manifestation. The impact of osteoporotic sintering fractures in the thoracolumbar spine on the sagittal lumbar profile is incompletely understood and may lead to the onset of clinical symptoms in previously asymptomatic patients. Methods This retrospective single-center study analyzed data from patients presenting with osteoporotic spine fractures between 2017 and 2022. Patient selection involved stringent inclusion and exclusion criteria, focusing on radiologically documented osteoporotic sintering fractures in the thoracolumbar junction (TH11-L2). Clinical parameters were recorded and analyzed, alongside lateral-view radiographic assessments utilizing the IDS 7-PACS®-System (Sectra, Linköping, Sweden). Measurements included total lumbar lordosis, lordosis caudal to the fracture, kyphosis of the fractured vertebra, and sacral slope. Statistical analysis was conducted using SPSS 27 (IBM, Armonk, USA). Results Thirty patients (73.3% female, 26.7% male) met the inclusion criteria, with an average age of 82.4 years. Analysis revealed a significant increase in kyphosis of the fractured vertebra in the thoracolumbar spine (p < 0.0001) following further sintering of osteoporotic VBF with increased lordosis caudal to the fracture (p < 0.0001). Total lumbar lordosis remained unchanged, alongside sacral slope measurements (p = 0.612 and p = 0.863, respectively). Conclusion Progressive sintering of osteoporotic fractures in the thoracolumbar junction accentuates lordosis in underlying segments, potentially exacerbating degenerative changes and symptomatic manifestations. Thus, prioritizing interventions aimed at preventing progressive sintering and restoring sagittal balance is paramount in optimizing treatment outcomes for affected individuals. | |||||||
| Rechtliche Vermerke: | Originalveröffentlichung:
Beyersdorf, C. C. P., Prost, M., Röckner, M. E., Maus, U., Jacobs, C., & Scheyerer, M. J. (2025). The influence of sintering of osteoporotic vertebral fractures on the sagittal lumbar profile and degenerative changes. Journal of Orthopaedic Surgery and Research, 20, Article 23. https://doi.org/10.1186/s13018-025-05454-3 | |||||||
| Lizenz: |  Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz | |||||||
| Fachbereich / Einrichtung: | Medizinische Fakultät | |||||||
| Dokument erstellt am: | 10.04.2025 | |||||||
| Dateien geändert am: | 10.04.2025 |
