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Related Experiment Video

Updated: Jul 4, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

Nonoperatively treated type A spinal fractures: mid-term versus long-term functional outcome.

R B Post1, C K van der Sluis, V J M Leferink

  • 1Centre for Rehabilitation, University Medical Centre Groningen, P.O. Box 30.001, 9700 RB, Groningen, The Netherlands.

International Orthopaedics
|June 13, 2008
PubMed
Summary

Nonoperative treatment for type A spinal fractures yields good functional outcomes. Patient scores on the Visual Analogue Scale Spine Score (VAS) and Roland-Morris Disability Questionnaire (RMDQ) remain stable from four to ten years post-injury.

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Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Area of Science:

  • Orthopedics
  • Spinal Surgery
  • Traumatology

Background:

  • Type A spinal fractures are common vertebral injuries.
  • Nonoperative management is frequently employed for these fractures, particularly in neurologically intact patients.
  • Long-term functional outcomes of this treatment approach require further elucidation.

Purpose of the Study:

  • To evaluate the mid-term (4 years) and long-term (10 years) functional outcomes of patients with type A spinal fractures treated nonoperatively.
  • To assess the stability of functional outcomes over time in this patient cohort.
  • To identify any factors influencing long-term functional results.

Main Methods:

  • A cohort of 50 patients with type A spinal fractures and no neurological deficit were treated nonoperatively.

Related Experiment Videos

Last Updated: Jul 4, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

  • Functional outcomes were assessed using the Visual Analogue Scale Spine Score (VAS) and the Roland-Morris Disability Questionnaire (RMDQ) at 4 and 10 years post-injury.
  • Statistical analysis was performed to compare scores and identify correlations with patient demographics and fracture characteristics.

    • Main Results:

    • At 4 years post-injury, mean VAS was 74.5 and mean RMDQ was 4.9.
    • At 10 years post-injury, mean VAS was 72.6 and mean RMDQ was 4.7 (not statistically significant difference from 4-year scores).
    • Only 6% of patients experienced poor long-term outcomes, with no need for surgery due to late pain or neurological deficits.

    Conclusions:

    • Nonoperative management of type A spinal fractures provides good functional outcomes at both 4 and 10 years.
    • Functional recovery appears to reach a plateau by 4 years and remains stable for at least 10 years.
    • This suggests a favorable long-term prognosis for neurologically intact patients with type A spinal fractures treated conservatively.