The factors related to the poor ADL in the patients with osteoporotic vertebral fracture after instrumentation surgery

The factors related to the poor ADL in the patients with osteoporotic vertebral fracture after instrumentation surgery

Purpose Osteoporotic vertebral fracture (OVF) with nonunion or neurological deficit may be a candidate for surgical treatment. However, some patients do not show improvement as expected. Therefore, we conducted a nationwide multicenter study to determine the predictors for postoperative poor activit...

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Veröffentlicht in:European spine journal 2020-07, Vol.29 (7), p.1597-1605
Hauptverfasser: Murata, Kazuma, Matsuoka, Yuji, Nishimura, Hirosuke, Endo, Kenji, Suzuki, Hidekazu, Takamatsu, Taichiro, Sawaji, Yasunobu, Aihara, Takato, Kusakabe, Takuya, Maekawa, Asato, Yamamoto, Kengo, Watanabe, Kei, Kaito, Takashi, Terai, Hidetomi, Tamai, Koji, Tagami, Atushi, Yoshii, Toshitaka, Harimaya, Katsumi, Kawaguchi, Kenichi, Kimura, Atsushi, Inoue, Gen, Nakano, Atsushi, Sakai, Daisuke, Hiyama, Akihiko, Ikegami, Shota, Ohtori, Seiji, Furuya, Takeo, Orita, Sumihisa, Imagama, Shiro, Kobayashi, Kazuyoshi, Kiyasu, Katsuhito, Murakami, Hideki, Yoshioka, Katsuhito, Seki, Shoji, Hongo, Michio, Kakutani, Kenichiro, Yurube, Takashi, Aoki, Yasuchika, Uei, Hiroshi, Ajiro, Yasumitsu, Takahata, Masahiko, Endo, Hirooki, Abe, Tetsuya, Nakanishi, Kazuyoshi, Watanabe, Kota, Okada, Eijiro, Hosogane, Naobumi, Funao, Haruki, Isogai, Norihiro, Ishii, Ken
Format: Artikel
Sprache:eng
Schlagworte:
Fractures
Medicine
Medicine & Public Health
Multivariate analysis
Neurological complications
Neurological diseases
Neurosurgery
Nonunion
Original Article
Osteoporosis
Parathyroid
Parathyroid hormone
Patients
Statistical analysis
Statistics
Surgery
Surgical Orthopedics
Vertebrae
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Zusammenfassung:Purpose Osteoporotic vertebral fracture (OVF) with nonunion or neurological deficit may be a candidate for surgical treatment. However, some patients do not show improvement as expected. Therefore, we conducted a nationwide multicenter study to determine the predictors for postoperative poor activity of daily living (ADL) in patients with OVF. Methods We retrospectively reviewed the case histories of 309 patients with OVF who underwent surgery. To determine the factors predicting postoperative poor ADL, uni- and multivariate statistical analyses were performed. Results The frequency of poor ADL at final follow-up period was 9.1%. In univariate analysis, preoperative neurological deficit (OR, 4.1; 95% CI, 1.8–10.3; P  
ISSN:0940-6719
1432-0932
DOI:10.1007/s00586-019-06092-0