Wieland, L.J. (2021) Patient reported outcome measurements in thoracolumbar vertebal fractures. thesis, Medicine.
Full text available on request.Abstract
Background: Thoracolumbar Vertebral fractures are common fractures, especially in the elderly, and their impact on the quality of life and physical function can be severe. There is still much debate about the optimal treatment of thoracolumbar A3 and A4 according to the AO-classification system. Surgical and conservative (non-surgical) treatment approaches are possible, but so far none has proven as superior over the other. The aim of this study was to compare the outcomes of patients with thoracolumbar A3 and A4 fractures that were treated conservatively with those that were treated operatively, in terms of self-reported physical function and quality of life. Methods: Patients that were treated in the UMCG between 2010 and 2019 for a thoracolumbar vertebral fracture were invited to fill in two questionnaires regarding quality of life (EQ-5D-5L) and physical functioning (SMFA-NL). Afterwards, the results of conservatively and operatively treated patients that suffered a type A3 or A4 thoracolumbar fracture were compared with each other, as well as with norm-data regarding quality of life and physical functioning of general population. Results: No significant differences in the outcomes of conservatively and operatively treated patients with A3/A4 fractures could be detected. Overall, the outcomes were comparable to the general population and averages of 80% or more of the optimal achievable scores were reached for almost all outcomes that were measured. Conclusion: Patients with A3/A4 fractures reached relatively good PROM-scores, after one to ten years follow up. The scores were for the largest parts comparable to the general population. Therefore, this study did not show superiority of one of the two treatment options.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Reininga, Dr. I.H.F. and Wendt, Dr. K.W. |
| Faculty: | Medical Sciences |
| Date Deposited: | 24 Dec 2021 11:08 |
| Last Modified: | 24 Dec 2021 11:08 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2915 |
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