Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Nonrandomized Clinical Trial

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KOOSHA MOHSEN; Nayeb Aghaei Hossein; Khayat Kashani Hamid Reza; Paybast Sepideh

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Journal: Bulletin of Emergency And Trauma Year:2020 | Volume:8 | Issue:2 Page(s): 89-97

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Title

Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Nonrandomized Clinical Trial

Author(s)

KOOSHA MOHSEN | Nayeb Aghaei Hossein | Khayat Kashani Hamid Reza | Paybast Sepideh | Issue Writer Certificate

Keywords

Thoracolumbar fracture

Classification score

JOABPEQ

Residual canal

Thoracolumbar Injury Classification and Severity (TLICS)

Abstract

Objective: To compare the effectiveness of surgical intervention to conservative treatment in patients with Thoracolumbar fracture and thoracolumbar injury classification and severity score (TLICS) of 4. Methods: Twenty-five patients with TLICS 4 were enrolled in this non-randomized clinical trial. Based on clinical symptoms and radiologic findings, patients were considered under surgical or conservative treatments. The JOA Back Pain Evaluation Questionnaire (JOABPEQ) was assessed at baseline and at 3, 6, 12 months after treatment. A 20-point improvement from the baseline JOABPEQ scores was considered as clinical success in both the conservative and surgery groups. Additionally, Residual canal, angulations and height loss were determined in all patients. Results: Eight patients received conservative and 17 surgical treatment. Both study groups were comparable regarding the baseline characteristics. Both study demonstrated treatment success, regarding functional recovery when compared to baseline (p<0. 001). However, those undergoing surgical intervention had significantly better JOABPEQ score (p<0. 001) and higher Residual canal (p=0. 042) when compared to those receiving conservative therapy. The success rate of treatment was comparable between the two study groups in 6-(p=0. 998) and 12-month (p=0. 852) intervals; however, surgical therapy had significantly higher success arte in 3-month interval (p=0. 031). Conclusion: Our findings revealed that surgical treatment was preferred more in comparison to conservative treatment in patients with TLICS 4. Additionally, Residual canal might be a modifying factor to decide the ideal therapeutic approach.

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APA: Copy

KOOSHA, MOHSEN, Nayeb Aghaei, Hossein, Khayat Kashani, Hamid Reza, & Paybast, Sepideh. (2020). Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Nonrandomized Clinical Trial. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 8(2), 89-97. SID. https://sid.ir/paper/335161/en

Vancouver: Copy

KOOSHA MOHSEN, Nayeb Aghaei Hossein, Khayat Kashani Hamid Reza, Paybast Sepideh. Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Nonrandomized Clinical Trial. BULLETIN OF EMERGENCY AND TRAUMA BEAT[Internet]. 2020;8(2):89-97. Available from: https://sid.ir/paper/335161/en

IEEE: Copy

MOHSEN KOOSHA, Hossein Nayeb Aghaei, Hamid Reza Khayat Kashani, and Sepideh Paybast, “Functional Outcome of Surgical versus Conservative Therapy in Patients with Traumatic Thoracolumbar Fractures and Thoracolumbar Injury Classification and Severity Score of 4; A Nonrandomized Clinical Trial,” BULLETIN OF EMERGENCY AND TRAUMA BEAT, vol. 8, no. 2, pp. 89–97, 2020, [Online]. Available: https://sid.ir/paper/335161/en

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