Skip to ContentSkip to Navigation
About usNews and EventsNews articles

Functional outcome after a spinal fracture

29 October 2008

PhD ceremony: R.B. Post, 13.15 uur, Academiegebouw, Broerstraat 5, Groningen

Thesis: Functional outcome after a spinal fracture

Promotor(s): prof. H.J. ten Duis

Faculty: Medical Sciences 

 

In this thesis, we studied the functional outcome after a traumatic thoracolumbar spinal fracture without neurological deficit. Operative as well as non-operative treatment was evaluated. Functional outcome refers to a patient’s status, which is defined by the amount of pain patients experience, as well as the return to work, being able to sport, perform recreational activities etc. Operative treatment consisted of placement of dorsal screws, non-operative treatment consisted of wearing a brace for several months.

Several aspects of the functional outcome were studied. We found that de range of motion of the spinal column did not correlate with disability. In other words, a stiff or mobile back does not result in more or less disability. Furthermore, the range of motion of the whole spinal column was found to be reduced in patients who were operated on for a spinal fracture (whereas this operation only immobilizes 2 segments).

Little is known in literature about the physical capacity of patients treated non-operatively for a spinal fracture. We carried out physical tests (dynamic lifting test and cycle ergometry test), from these tests it appeared that 1/3 of patients faced a serious impairment in their physical ability. Those impairments do not influence the quality of life though.

From our data (as well as the literature) it appears that patients usually have a fairly good functional outcome after a spinal fracture. This outcome, however, is mostly measured 2 to 3 years after the fracture. Concerning the long-term outcome less is known, therefore we measured the outcome also in the long term, in the same cohort of non-operatively treated patients. Ten years post-injury, the functional outcome appeared to be equal to the outcome 4 years post-injury, no deterioration occurred. Finally, we searched for the most optimal treatment in treating spinal fractures: operative versus non-operative. From our (retrospective) analysis it appeared that both treatments result in similar outcome.

 

Last modified:15 September 2017 3.37 p.m.

More news

  • 16 April 2019

    A thorough characterization of structural variants in human genomes

    Human genomes vary quite a bit from individual to individual. These differences include single nucleotide changes, or “spelling mistakes” in the DNA sequence, but even more variation comes from structural variants, which include additions, deletions...

  • 02 April 2019

    ‘Sense of loss drives voting behaviour’

    ‘Everybody here loves that academia has returned to Friesland. We teach, carry out research and think along about solutions to problems that are relevant for Friesland,’ says Caspar van den Berg, Professor of Global and Local Governance at the UG Campus...

  • 02 April 2019

    UMCG onderzoekt behandeling tegen geheugenachteruitgang ouderen

    Is het mogelijk om achteruitgang van geheugen en denkvermogen bij ouderen te remmen door hun hersenen letterlijk actiever te maken? Kan stimulatie met zwakke stroompjes op de schedel de veerkracht van hersenen versterken? Hersenonderzoekers van het...