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- Title
Classification of Osteoporotic Thoracolumbar Spine Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU).
- Authors
Schnake, Klaus John; Blattert, Thomas R.; Hahn, Patrick; Franck, Alexander; Hartmann, Frank; Ullrich, Bernhard; Verheyden, Akhil; Mörk, Sven; Zimmermann, Volker; Gonschorek, Oliver; Müller, Michael; Katscher, Sebastian; Saman, Andre El; Pajenda, Gholam; Morrison, Robert; Schinkel, Christian; Piltz, Stefan; Partenheimer, Axel; Müller, Christian W.; Gercek, Erol
- Abstract
Study Design: Expert opinion. Objectives: Osteoporotic vertebral fractures are of increasing medical importance. For an adequate treatment strategy, an easy and reliable classification is needed. Methods: The working group “Osteoporotic Fractures” of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) has developed a classification system (OF classification) for osteoporotic thoracolumbar fractures. The consensus decision followed an established pathway including review of the current literature. Results: The OF classification consists of 5 groups: OF 1, no vertebral deformation (vertebral edema); OF 2, deformation with no or minor (<1/5) involvement of the posterior wall; OF 3, deformation with distinct involvement (>1/5) of the posterior wall; OF 4, loss of integrity of the vertebral frame or vertebral body collapse or pincer-type fracture; OF 5, injuries with distraction or rotation. The interobserver reliability was substantial (κ = .63). Conclusions: The proposed OF classification is easy to use and provides superior clinical differentiation of the typical osteoporotic fracture morphologies.
- Publication
Global Spine Journal, 2018, Vol 8, p46S
- ISSN
2192-5682
- Publication type
Academic Journal
- DOI
10.1177/2192568217717972