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논문 기본 정보

자료유형
학술저널
저자정보
Tokunaga Shinya (Fujieda Heisei Memorial Hospital, Fujieda, Japa) Takahashi Toshiyuki (Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Shizuoka, Japan) Mitani Koki (Fujieda Heisei Memorial Hospital, Fujieda, Japa) Inoue Tomoo (Saitama Red Cross Hospital, Oomiya, Japan) Kanematsu Ryo (Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Shizuoka, Japan) Minami Manabu (Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Shizuoka, Japan) Suda Izumi (Fujieda Heisei Memorial Hospital, Fujieda, Japan) Nakamura Shota (Department of Infection Metagenomics, Research Institute for Microbial Diseases, Osaka University, Suita, Japan.) Hanakita Junya (Spinal Disorders Center, Fujieda Heisei Memorial Hospital, Shizuoka, Japan)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.18 No.2
발행연도
2024.4
수록면
251 - 259 (9page)
DOI
10.31616/asj.2023.0319

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Study Design: Retrospective observational study.Purpose: To evaluate the modified osteoporotic fracture (mOF) scores in three treatment groups and compare imaging findings in patients treated and not treated according to the mOF score-based treatment recommendation.Overview of Literature: The osteoporotic fracture (OF) score was established by the AO Spine to guide therapeutic decisions. To enhance its applicability, a mOF score was recently introduced. Methods: Consecutive patients diagnosed with OFs at Fujieda Heisei Memorial Hospital were divided into three groups: nonsurgical therapy, balloon kyphoplasty (BKP), and open surgery groups. The mOF score was calculated, and the levels of independence and posttreatment imaging data were compared between patients treated and not treated according to the mOF score-based treatment recommendation.Results: In total, 118 patients were included (nonsurgical therapy, n=57; BKP, n=48; open surgery, n=13), of whom 100 (85%) received treatment consistent with the mOF score-based treatment recommendation. In the BKP and open surgery groups, the mOF scorebased treatment recommendations were consistent with the actual treatment in 93% of the patients. However, in the nonsurgical group, the mOF score-based treatment recommendation was not consistent with the actual treatment in 25% of the patients. In this group, patients not treated according to the mOF score had significantly shorter vertebral body height, greater local kyphosis, and smaller sacral slope after treatment than patients treated according to the mOF score-based treatment recommendation.Conclusions: In the BKP and open surgery groups, the mOF scores were consistent with actual clinical selection. In the nonsurgical therapy group, patients not treated according to the mOF score-based treatment recommendation exhibited severe vertebral body deformity and a less well-balanced spine shape after treatment. The mOF score may help in selecting suitable treatments for OFs.
#Osteoporotic fractures #Conservative treatment #Kyphoplasty #Surgery

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