Thormann Ulrich, Erli Hans-Josef, Brügmann Marc, Szalay Gabor, Schlewitz Gudrun, Pape Hans-Christoph, Schnettler Reinhard, Alt Volker
Department of Trauma Surgery, University Hospital Giessen-Marburg GmbH Campus Giessen, Rudolf-Buchheim-Str. 7, 35390, Giessen, Germany,
Eur Spine J. 2013 Oct;22(10):2202-10. doi: 10.1007/s00586-013-2799-0. Epub 2013 May 7.
The intention of the current work was to assess the association between clinical parameters and seven different quality of life (QoL) instruments after surgical treatment of thoracolumbar spinal fractures after an average follow-up of 4.2 years.
The following human-related quality of life and PRO measures of 66 patients were correlated to clinical parameters such as fingertip-to-floor distance (FFD), Schober measurement, pressure and percussion pain in the lumbopelvine area (PPP), and paravertebral muscle tension: reALOS, SF-36, VAS, VAS spine score, BDI, the GBB-24, and the IES-R.
Overall, there was a significant association between the clinical parameters of the thoracolumbar spine such as PPP, paravertebral muscle tension, FFD and Schober's sign on one side, and the seven tested instruments on the other side.
PPP and FFD as well as a small Schober measurement are clinical parameters which significantly influence QoL after surgical treatment of thoracolumbar fractures.
本研究旨在评估在平均随访4.2年的情况下,胸腰椎骨折手术治疗后临床参数与七种不同生活质量(QoL)评估工具之间的关联。
对66例患者的以下与人类相关的生活质量和患者报告结局(PRO)指标与临床参数进行相关性分析,这些临床参数包括指尖至地面距离(FFD)、Schober测量、腰骶部区域的压痛和叩击痛(PPP)以及椎旁肌紧张度:reALOS、SF-36、视觉模拟评分(VAS)、脊柱VAS评分、贝克抑郁量表(BDI)、24项一般性健康问卷(GBB-24)和创伤后应激障碍自评量表(IES-R)。
总体而言,胸腰椎的临床参数,如PPP、椎旁肌紧张度、FFD和Schober征,与另一侧的七种测试工具之间存在显著关联。
PPP、FFD以及较小的Schober测量值是显著影响胸腰椎骨折手术治疗后生活质量的临床参数。