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A modeling capacity of vertebral fractures exists during growth - an up to 47-year follow-up

Karlsson, Magnus LU ; Möller, Anders LU ; Hasserius, Ralph LU ; Besjakov, Jack LU ; Karlsson, Caroline LU and Ohlin, Acke LU (2003) In Spine 28(18). p.2087-2092
Abstract
Study Design. The study is an observational cohort study. Objectives. To determine the incidence and the long-term outcome of thoracic or lumbar vertebral fractures in children. Summary of Background Data. The incidence of vertebral fractures in children is described as rare and the outcome as favorable. However, no studies evaluate the clinical and radiographic long-term outcome and if a fractured vertebra could be rebuilt during growth. Method. The incidence of vertebral fractures in children was evaluated through the radiographic archives. Twelve boys and 12 girls, aged 7-16 when sustaining the fracture, 21 one-column compression fractures and 3 burst fractures Denis type B, all without neurologic deficits, attended the follow-up.... (More)
Study Design. The study is an observational cohort study. Objectives. To determine the incidence and the long-term outcome of thoracic or lumbar vertebral fractures in children. Summary of Background Data. The incidence of vertebral fractures in children is described as rare and the outcome as favorable. However, no studies evaluate the clinical and radiographic long-term outcome and if a fractured vertebra could be rebuilt during growth. Method. The incidence of vertebral fractures in children was evaluated through the radiographic archives. Twelve boys and 12 girls, aged 7-16 when sustaining the fracture, 21 one-column compression fractures and 3 burst fractures Denis type B, all without neurologic deficits, attended the follow-up. Primary treatment consisted of immediate mobilization without brace. Clinical and radiographic examination were performed 27-47 years after the injury. Results. The annual incidence of thoracic and lumbar vertebral body fractures in individuals below age 16 was 0.07%. Twenty-one individuals had, at follow-up. no subjective complaints, 3 had occasional back pain (Oswestry Scores, 8, 22, and 26), 23 were classified as Frankel E, and 1 as Frankel D. The radiographic ratio anterior height/posterior height of the fractured vertebral body increased from 0.75 after injury to 0.87 at follow-up (P<0.001). The posttraumatic kyphosis in the fracture region decreased in 8 individuals (33%), all aged 13 or less at fracture. No increased disc degeneration was observed. Conclusion. Thoracolumbar vertebral fractures without neurologic deficits, sustained during growth, have a favorable long-term outcome. A modeling capacity, reducing the fracture deformity exists at least in the youngest patients. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
children, fractures, long-term, lumbar, modeling, natural history, thoracic, nonsurgical treatment
in
Spine
volume
28
issue
18
pages
2087 - 2092
publisher
Lippincott Williams & Wilkins
external identifiers
  • wos:000185498100009
  • scopus:0141478969
ISSN
0362-2436
language
English
LU publication?
yes
id
1ec6a290-3ddf-45a3-a7df-6d63753b7ed5 (old id 899928)
alternative location
http://www.spinejournal.com/pt/re/spine/abstract.00007632-200309150-00010.htm
date added to LUP
2008-01-14 21:21:56
date last changed
2018-09-02 04:07:35
@article{1ec6a290-3ddf-45a3-a7df-6d63753b7ed5,
  abstract     = {Study Design. The study is an observational cohort study. Objectives. To determine the incidence and the long-term outcome of thoracic or lumbar vertebral fractures in children. Summary of Background Data. The incidence of vertebral fractures in children is described as rare and the outcome as favorable. However, no studies evaluate the clinical and radiographic long-term outcome and if a fractured vertebra could be rebuilt during growth. Method. The incidence of vertebral fractures in children was evaluated through the radiographic archives. Twelve boys and 12 girls, aged 7-16 when sustaining the fracture, 21 one-column compression fractures and 3 burst fractures Denis type B, all without neurologic deficits, attended the follow-up. Primary treatment consisted of immediate mobilization without brace. Clinical and radiographic examination were performed 27-47 years after the injury. Results. The annual incidence of thoracic and lumbar vertebral body fractures in individuals below age 16 was 0.07%. Twenty-one individuals had, at follow-up. no subjective complaints, 3 had occasional back pain (Oswestry Scores, 8, 22, and 26), 23 were classified as Frankel E, and 1 as Frankel D. The radiographic ratio anterior height/posterior height of the fractured vertebral body increased from 0.75 after injury to 0.87 at follow-up (P&lt;0.001). The posttraumatic kyphosis in the fracture region decreased in 8 individuals (33%), all aged 13 or less at fracture. No increased disc degeneration was observed. Conclusion. Thoracolumbar vertebral fractures without neurologic deficits, sustained during growth, have a favorable long-term outcome. A modeling capacity, reducing the fracture deformity exists at least in the youngest patients.},
  author       = {Karlsson, Magnus and Möller, Anders and Hasserius, Ralph and Besjakov, Jack and Karlsson, Caroline and Ohlin, Acke},
  issn         = {0362-2436},
  keyword      = {children,fractures,long-term,lumbar,modeling,natural history,thoracic,nonsurgical treatment},
  language     = {eng},
  number       = {18},
  pages        = {2087--2092},
  publisher    = {Lippincott Williams & Wilkins},
  series       = {Spine},
  title        = {A modeling capacity of vertebral fractures exists during growth - an up to 47-year follow-up},
  volume       = {28},
  year         = {2003},
}