De Gendt Erin E A, Vercoulen Timon F G, Joaquim Andrei F, Guo Wei, Vialle Emiliano N, Schroeder Gregory D, Schnake Klaus S, Vaccaro Alexander R, Benneker Lorin Michael, Muijs Sander P J, Oner F Cumhur
Department of Orthopedics, University Medical Center Utrecht, the Netherlands.
Department of Neurosurgery, State University of Campinas, Campinas, Cidade Universitária Zeferino Vaz-Barão Geraldo, Campinas-SP, Brazil.
Global Spine J. 2021 Oct;11(8):1266-1280. doi: 10.1177/2192568220969153. Epub 2020 Dec 7.
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.
系统评价。
系统分析文献中“脊柱创伤后畸形”（SPTD）的定义和描述，以支持制定统一且全面的临床相关SPTD定义。
在11个国际数据库中进行文献检索，使用“畸形”和“创伤后”及其同义词。当文章中存在SPTD的原始定义或描述（患者因素、影像学结果、患者报告的结局测量和手术指征）时，该文章被纳入。对检索到的文章进行方法学质量评估，并提取呈现的数据。
46篇文章符合纳入标准。“症状性SPTD”作为一个实体被多次提及，但未找到对“症状性SPTD”的任何描述。疼痛被提及为SPTD的关键因素。其他与患者相关的参数包括神经功能缺损（进展情况）、骨质、年龄、合并症和功能障碍。采用了多种方法来确定X线片上的畸形程度。畸形程度范围从正常无偏差到>30°。矢状面平衡和脊柱骨盆参数，如骨盆倾斜度、骨盆倾斜角和骶骨斜率被考虑在内，并用作手术指征和术前规划。疼痛视觉模拟量表和Oswestry功能障碍指数大多用于评估手术干预效果。
关于临床相关SPTD，文献中尚无明确的定义或共识。我们的研究为国际上制定SPTD定义的努力奠定了基础。
