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Randomized Controlled Trial
. 2018 Feb;97(6):e9842.
doi: 10.1097/MD.0000000000009842.

Comparison of surgical or nonsurgical treatment outcomes in patients with thoracolumbar fracture with Score 4 of TLICS: A randomized, single-blind, and single-central clinical trial

Alireza Mohamadi  1 , Ali Googanian, Ali Ahmadi, Alireza Kamali
Affiliations
Randomized Controlled Trial

Comparison of surgical or nonsurgical treatment outcomes in patients with thoracolumbar fracture with Score 4 of TLICS: A randomized, single-blind, and single-central clinical trial

Alireza Mohamadi et al. Medicine (Baltimore). 2018 Feb.

Abstract

Background: Thoracolumbar fractures are among the most common types of damages caused to the spinal cord .Therefore, the aim of this study was the comparison of surgical or nonsurgical treatment outcomes in patients with thoracolumbar fracture with score 4 of the thoracolumbar injury classification and severity (TLICS) METHODS:: This study was clinical trial and double blind. Patients with thoracolumbar fracture with score 4 of TLICS entered at this research. We divided patients in 2 groups randomly (each group 25 patients) and then we followed patients for 1 year after start of treatment. We checked duration of bedridden and absence work, pain every 3 months for 1 year and radiography every 3 months for 1 year.

Results: Pain in operative group was lower than nonoperative group (P = .02). Regional sagittal angles (RSA) in operative group was lower than nonoperative group in all time (P = .0001). Mean of time of return to work in operative group was lower than nonoperative group (P = .001).

Conclusions: Pain and mean of time of return to work and RSA in operative group was lower than nonoperative group. The present data suggest the use of operative method in patients with thoracolumbar fracture with score 4 of TLICS.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Visual analog scale.
Figure 2
Figure 2
Comparison of pain score in terms of VAS in patients suffering from thoracolumbar fracture while being discharged from hospital in both therapeutic groups. VAS = vertebra and visual analog scale.
Figure 3
Figure 3
Comparison of LSA angle score in patients suffering from thoracolumbar fracture before and 3, 6, 9, and 12 months following operation in both groups. LSA = local sagittal angles.
Figure 4
Figure 4
Comparison of RSA angle score in patients suffering from thoracolumbar fracture before and 3, 6, 9, and 12 months following operation in both groups. RSA = regional sagittal angles.
See this image and copyright information in PMC

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