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

Emiliano Neves Vialle; Asdrubal Falavigna; André de Oliveira Arruda; Joana Bretas Cabral Rondon Guasque; Bárbara Miroski de Oliveira Pinto; Guilherme Finger; Ericson Sfreddo; André Martins de Lima Cecchini

doi:10.1055/s-0042-1749622

Revista Brasileira de Ortopedia, Table of Contents

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

Authors

Emiliano Neves Vialle

¹Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
Asdrubal Falavigna

²Serviço de Ortopedia e Traumatologia, Universidade de Caxias do Sul (UCS), Caxias do Sul, RS, Brasil
André de Oliveira Arruda

¹Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
Joana Bretas Cabral Rondon Guasque

¹Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
Bárbara Miroski de Oliveira Pinto

¹Grupo de Cirurgia da Coluna, Hospital Universitário Cajuru, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brasil
Guilherme Finger

³Departamento de Neurocirurgia, Hospital Cristo Redentor, Porto Alegre, Brasil
Ericson Sfreddo

³Departamento de Neurocirurgia, Hospital Cristo Redentor, Porto Alegre, Brasil
André Martins de Lima Cecchini

³Departamento de Neurocirurgia, Hospital Cristo Redentor, Porto Alegre, Brasil

Abstract

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

Full Text

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