Classification of Osteoporotic Thoracolumbar Spine Fractures: Recommendations of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU)

Global Spine Journal
Klaus John SchnakeSpine Section of the German Society for Orthopaedics and Trauma

Abstract

Expert opinion. Osteoporotic vertebral fractures are of increasing medical importance. For an adequate treatment strategy, an easy and reliable classification is needed. The working group "Osteoporotic Fractures" of the Spine Section of the German Society for Orthopaedics and Trauma (DGOU) has developed a classification system (OF classification) for osteoporotic thoracolumbar fractures. The consensus decision followed an established pathway including review of the current literature. The OF classification consists of 5 groups: OF 1, no vertebral deformation (vertebral edema); OF 2, deformation with no or minor (<1/5) involvement of the posterior wall; OF 3, deformation with distinct involvement (>1/5) of the posterior wall; OF 4, loss of integrity of the vertebral frame or vertebral body collapse or pincer-type fracture; OF 5, injuries with distraction or rotation. The interobserver reliability was substantial (κ = .63). The proposed OF classification is easy to use and provides superior clinical differentiation of the typical osteoporotic fracture morphologies.

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Citations

Dec 24, 2018·Der Orthopäde·T R BlattertUNKNOWN die Sektion Wirbelsäule der Deutschen Gesellschaft für Orthopädie und Unfallchirurgie
Mar 23, 2019·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Ulrich J SpieglChristoph-Eckhard Heyde
Mar 4, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·André El SamanIngo Marzi
Jun 21, 2020·Der Radiologe·Thomas Grieser
Jul 29, 2019·Journal of Orthopaedic Surgery and Research·Maciej OpalkoSebastian Vogt
Feb 6, 2021·Archives of Orthopaedic and Trauma Surgery·Julio UrrutiaCristobal Piza
Dec 19, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Xudong HuWeihu Ma
Jun 4, 2021·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Klaus John SchnakeAnnett Olbrich
Jul 9, 2021·Archives of Osteoporosis·Francesco LangellaPedro Berjano
Oct 17, 2020·Asian Spine Journal·Massimo GirardoFederico Fusini
Aug 17, 2021·Medicina clínica·Daniel López ZúñigaFernando Ruiz Santiago
Aug 4, 2021·Deutsches Ärzteblatt International·Ulrich SpieglKlaus J Schnake
Nov 7, 2021·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Maximilian SchwendnerSandro M Krieg
Nov 13, 2021·Der Radiologe·E FleischhackerCarl Neuerburg

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