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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(01): 042-047
DOI: 10.1055/s-0042-1749622
Artigo Original
Coluna

Comparação entre tratamento cirúrgico e conservador para fraturas toracolombares AOSpine tipo A3 e A4 sem déficit neurológico: Estudo de coorte prospectivo observacional

Article in several languages: português | English
Emiliano Neves Vialle 
1   Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
,
Asdrubal Falavigna 
2   Serviço de Ortopedia e Traumatologia, Universidade de Caxias do Sul (UCS), Caxias do Sul, RS, Brasil
,
André de Oliveira Arruda 
1   Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
,
Joana Bretas Cabral Rondon Guasque 
1   Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
,
Bárbara Miroski de Oliveira Pinto 
1   Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
,
Guilherme Finger 
3   Departamento de Neurocirurgia, Hospital Cristo Redentor, Porto Alegre, Brasil
,
Ericson Sfreddo 
3   Departamento de Neurocirurgia, Hospital Cristo Redentor, Porto Alegre, Brasil
,
André Martins de Lima Cecchini 
3   Departamento de Neurocirurgia, Hospital Cristo Redentor, Porto Alegre, Brasil
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Resumo

Objetivo Comparar os resultados clínicos entre os tratamentos conservador (CS) e cirúrgico (CXS) das fraturas A3 e A4 sem déficit neurológico.

Métodos Estudo prospectivo observacional de paciente com fraturas toracolombares tipo A3 e A4. Esses pacientes foram separados entre os grupos cirúrgico e conservador e avaliados sequencialmente através da escala numérica de dor (NRS), do questionário de incapacidade de Roland-Morris (RMDQ), do EuroQol-5D (EQ-5D) e da escala de trabalho de Denis (DWS) até 2,5 anos de acompanhamento.

Resultados Ambos os grupos apresentaram melhora significante, sem diferença estatística nos questionários de dor (NRS: CXS 2,4 ± 2,6; CS 3,5 ± 2,6; p > 0,05), funcionalidade (RMDQ: CS 7 ± 6,4; CXS 5,5 ± 5,2; p > 0,05), qualidade de vida (EQ-5D) e retorno ao trabalho (DWS).

Conclusão Ambos os tratamentos são opções viáveis e com resultados clínicos equivalentes. Há uma tendência a melhores resultados no tratamento cirúrgico das fraturas A4.

Palavras-chave

fixação interna de fraturas - fraturas da coluna vertebral - resultado do tratamento - tratamento conservador

Suporte Financeiro

Este estudo teve suporte financeiro e logístico da AOSpine Latin America.


Trabalho multicêntrico desenvolvido no Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR e no Hospital Cristo Redentor, Porto Alegre, RS, Brasil.




Publication History

Received: 23 October 2021

Accepted: 28 April 2022

Article published online:
24 March 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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