Correlation between Type of Fracture with Patient’s Life Expectancy

and Patient’s Quality of Life in Thoracolumbar Fracture after

Surgical Treatment.

Background:

Ninety percent of all spine fractures are related to the thoracolumbar region. The
causes of thoracolumbar fracture are different depending on patient's age. (Kim
et al., 2015). The most common etiology for a thoracolumbar fracture was motor
vehicle collision 36.70% (±5.35), followed by high-energy fall 31.70% (±6.70)
(Kaatsura et al., 2016). Based on the fracture subtype, type A (compression or
burst) fracture is the most common type of fracture. Lumbar vertebral fracture is
the most fractured in vertebral fractures. The most common cause of fracture in
the vertebrae is trauma with great energy due to falling from a height
(Widhiyanto et al., 2019).
Fractures of the thoracolumbar spine rank among the severest injuries of the
human skeleton. Twenty to forty percent of thoracolumbar fractures are
associated with neurologic injuries. If the patients involve in a severe trauma, the
complications, such as paralysis and deformity, may occur after that accident.
Even if the patients do not experience any complications, there could be limits of
daily activities or difficulty to return to work due to chronic pain (Kim et al.,
2015). Soon et al. (2019) reported that geriatric patients who sustained acute
spine fractures have reduced life expectancy. This research will provide us with
recomendation approach of post-surgical treatment on patient with
thoracolumbar fracture based by their type of fracture to increase their life
expectancy and quality of life.
Method:
Patient with thoracolumbar fracture from 2015 to 2019 in Dr. Soeharso
Orthopedic Hospital. We evaluate the conditions of neurological conditions
(motor and sensory) and kyphotic deformity before and after the surgical
treatment. The quality of life was assessed using established questionnaires (SF-
36, HFAQ, VAS-Spinescore, PRQ, and PTSD).
Result:
Discussion:
 What are the mechanisms of injury of patients with thoracolumbar
fracture?
 What are the type of fracture if classified by patient’s age and its
mechanisms of injury?
  How’s the neurological conditions (motor & sensory) of patient before
and after the surgical treatment?
 How’s the kyphotic deformity of patient before and after the surgical
treatment?
 How’s the ambulation of patient after the surgical treatment?
 How’s life expectancy of patient after the surgical treatment?
Reference:

Kim, B. G., Dan, J. M., & Shin, D. E. (2015). Treatment of thoracolumbar fracture. Asian
spine journal, 9(1), 133–146. doi:10.4184/asj.2015.9.1.133

Widhiyanto, L., Martiana, I., Ariesa Airlangga, P. and Permana, D. (2019). Studi
Epidemiologi Fraktur Vertebra di RSUD Dr.Soetomo Surabaya Pada Tahun
2013-2017. Jurnal Kedokteran FK UMSurabaya, 3(1).

Soon, E., Leong, A., Chiew, J., Kaliya-Perumal, A., Yu, C. and Oh, J. (2019). Factors
Impacting Mortality in Geriatric Patients with Acute Spine Fractures: A 12-Year
Study of 613 Patients in Singapore. Asian Spine Journal, 13(4), pp.563-568.

Katsuura, Y., Osborn, J. and Cason, G. (2016). The epidemiology of thoracolumbar

trauma: A meta-analysis. Journal of Orthopaedics, 13(4), pp.383-388.