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The Current Status of Spinal Posttraumatic Deformity: A Systematic Review.

Authors
  • De Gendt, Erin E A1
  • Vercoulen, Timon F G1
  • Joaquim, Andrei F2
  • Guo, Wei3
  • Vialle, Emiliano N4
  • Schroeder, Gregory D5
  • Schnake, Klaus S6
  • Vaccaro, Alexander R5
  • Benneker, Lorin Michael7
  • Muijs, Sander P J1
  • Oner, F Cumhur1
  • 1 Department of Orthopedics, University Medical Center Utrecht, the Netherlands. , (Netherlands)
  • 2 Department of Neurosurgery, State University of Campinas, Campinas, Cidade Universitária Zeferino Vaz-Barão Geraldo, Campinas-SP, Brazil. , (Brazil)
  • 3 Department of Orthopedics, Sun Yat-sen University, Guangzhou, Haizhu District, Guangdong Province, China. , (China)
  • 4 Department of Orthopaedics, Cajuru Hospital, Catholic University of Paraná, Curitiba, Av. São José, Brazil. , (Brazil)
  • 5 Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University, PA, USA.
  • 6 Center for Spinal Surgery, Schön Klinik Nürnberg Fürth, Germany. , (Germany)
  • 7 Department of Orthopaedic Surgery, Inselspital, University Hospital Bern, Switzerland. , (Switzerland)
Type
Published Article
Journal
Global Spine Journal
Publisher
SAGE Publications
Publication Date
Oct 01, 2021
Volume
11
Issue
8
Pages
1266–1280
Identifiers
DOI: 10.1177/2192568220969153
PMID: 33280414
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Systematic Review. To systematically analyze the definitions and descriptions in literature of "Spinal Posttraumatic Deformity" (SPTD) in order to support the development of a uniform and comprehensive definition of clinically relevant SPTD. A literature search in 11 international databases was performed using "deformity" AND "posttraumatic" and its synonyms. When an original definition or a description of SPTD (Patient factors, Radiological outcomes, Patient Reported Outcome Measurements and Surgical indication) was present the article was included. The retrieved articles were assessed for methodological quality and the presented data was extracted. 46 articles met the inclusion criteria. "Symptomatic SPTD" was mentioned multiple times as an entity, however any description of "symptomatic SPTD" was not found. Pain was mentioned as a key factor in SPTD. Other patient related parameters were (progression of) neurological deficit, bone quality, age, comorbidities and functional disability. Various ways were used to determine the amount of deformity on radiographs. The amount of deformity ranged from not deviant for normal to >30°. Sagittal balance and spinopelvic parameters such as the Pelvic Incidence, Pelvic Tilt and Sacral Slope were taken into account and were used as surgical indicators and preoperative planning. The Visual Analog Scale for pain and the Oswestry Disability Index were used mostly to evaluate surgical intervention. A clear-cut definition or consensus is not available in the literature about clinically relevant SPTD. Our research acts as the basis for international efforts for the development of a definition of SPTD.

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