{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:15Z","timestamp":1740148635961,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T00:00:00Z","timestamp":1679616000000},"content-version":"vor","delay-in-days":51,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar o alinhamento espinop\u00e9lvico em pacientes com fratura toracolombar do tipo explos\u00e3o (FTE) sem d\u00e9ficit neurol\u00f3gico tratados de forma n\u00e3o operat\u00f3ria e operat\u00f3ria em um hospital terci\u00e1rio de refer\u00eancia em trauma.<\/jats:p><jats:p>\n          M\u00e9todo\u2003Estudo transversal retrospectivo de pacientes com FTE apenas da regi\u00e3o toracolombar, de n\u00edvel \u00fanico, do tipo A3 e A4 AOSpine. An\u00e1lise de dados cl\u00ednicos, dor lombar (escala visual anal\u00f3gica [EVA]), Escala de Denis, qualidade de vida (SF-36), par\u00e2metros radiogr\u00e1ficos sagitais (cifose tor\u00e1cica [CT], cifose toracolombar [CTL], lordose lombar [LL] e eixo vertical sagital [EVS]) e espinop\u00e9lvicos (incid\u00eancia p\u00e9lvica [IP], vers\u00e3o p\u00e9lvica [VP], inclina\u00e7\u00e3o sacral [IS] e a discrep\u00e2ncia entre incid\u00eancia p\u00e9lvica e lordose lombar [IP-LL]) de pacientes tratados de forma operat\u00f3ria e n\u00e3o operat\u00f3ria.<\/jats:p><jats:p>\n          Resultados\u2003O presente estudo avaliou um total de 50 indiv\u00edduos com uma m\u00e9dia de 50 anos de idade com acompanhamento m\u00e9dio de 109 meses (m\u00ednimo de 19 e m\u00e1ximo de 306 meses). Houve diferen\u00e7a significativa entre os tratamentos para Denis trabalho (p\u2009=\u20090,046) a favor do tratamento n\u00e3o operat\u00f3rio. N\u00e3o houve diferen\u00e7a significativa entre os tratamentos para EVA dor lombar e Denis dor (p\u2009=\u20090,468 e p\u2009=\u20090,623). N\u00e3o houve diferen\u00e7a significante entre os tratamentos em nenhum dos dom\u00ednios avaliados do SF-36 (p\u2009&gt;\u20090,05). Par\u00e2metros radiogr\u00e1ficos n\u00e3o se mostraram diferentes entre os grupos analisados; contudo, todos os par\u00e2metros radiogr\u00e1ficos mostraram diferen\u00e7a significante entre a popula\u00e7\u00e3o considerada assintom\u00e1tica, com exce\u00e7\u00e3o da incid\u00eancia p\u00e9lvica (p\u2009&lt;\u20090,005).<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003O alinhamento espinop\u00e9lvico foi normal em pacientes com FTE sem d\u00e9ficit neurol\u00f3gico tratados de forma n\u00e3o operat\u00f3ria e operat\u00f3ria, ap\u00f3s acompanhamento m\u00ednimo de 19 meses. Entretanto, estes pacientes apresentaram maior m\u00e9dia de vers\u00e3o p\u00e9lvica e de discrep\u00e2ncia entre lordose lombar e incid\u00eancia p\u00e9lvica quando comparados com os valores de refer\u00eancia da popula\u00e7\u00e3o brasileira.<\/jats:p>","DOI":"10.1055\/s-0042-1756322","type":"journal-article","created":{"date-parts":[[2023,3,24]],"date-time":"2023-03-24T23:33:16Z","timestamp":1679700796000},"page":"058-066","source":"Crossref","is-referenced-by-count":0,"title":["Alinhamento espinop\u00e9lvico em pacientes com fratura toracolombar explos\u00e3o"],"prefix":"10.1055","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9556-4444","authenticated-orcid":false,"given":"Lucas Miotto","family":"Jos\u00e9","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3955-1411","authenticated-orcid":false,"given":"Pedro","family":"Coury","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8695-3982","authenticated-orcid":false,"given":"Robert","family":"Meves","sequence":"additional","affiliation":[{"name":"Grupo de Coluna, Departamento de Ortopedia e Traumatologia, Faculdade de Ci\u00eancias M\u00e9dicas, Santa Casa de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,24]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"575","DOI":"10.2214\/ajr.147.3.575","article-title":"The radiographic characterization of burst fractures of the spine","volume":"147","author":"S W Atlas","year":"1986","journal-title":"AJR Am J Roentgenol"},{"issue":"189","key":"ref2","first-page":"142","article-title":"Acute thoracolumbar burst fractures in the absence of neurologic deficit. 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