UNASSIGNED: 87 patients suffering from a traumatic vertebral body fracture (T11 - L2) were included. Quality of life was determined using four different scoring systems (SF 36, VAS, Oswestry, LBOS). Clinical examination included range of motion. Radiologic findings were correlated with QOL.
UNASSIGNED: Patients with removal of the internal fixator had a trend towards better range of motion than patients with posterior instrumentation left in place. Radiologic findings showed no correlation to QOL. Implant removal led to better values in Oswestry and SF-36. 69% of patients after removal reported a reduction of their symptoms.All patients with persistence of severe pain after implant removal belonged to subgroup II.2 (anterior monosegmental fusion with bone graft).
UNASSIGNED: Removal of the internal fixator can lead to a reduction of symptoms. Patient selection is crucial for successful indication. Radiologic findings do not correlate with QOL.
■包括87例患有创伤性椎体骨折(T11-L2)的患者。使用四种不同的评分系统确定生活质量(SF36,VAS,Oswestry,LBOS)。临床检查包括活动范围。放射学检查结果与生活质量相关。
■移除内固定器的患者比保留后部器械的患者具有更好的运动范围的趋势。放射学检查结果显示与生活质量无相关性。去除植入物在Oswestry和SF-36中产生了更好的价值。69%的患者在切除后报告症状减轻。摘除植入物后持续剧烈疼痛的所有患者均属于II.2亚组(前单节融合植骨)。
■去除内固定器可以减轻症状。患者的选择对于成功的适应症至关重要。放射学检查结果与生活质量无关。