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DOI: 10.1055/a-2167-1338
OF2 # mit sekundärer Sinterung – konservative Therapie
OF2 # with Secondary Sintering – Conservative Therapy![](https://www.thieme-connect.de/media/10.1055-s-00033104/202401/lookinside/thumbnails/10-1055-a-2167-1338-1.jpg)
Zusammenfassung
Thorakolumbale OF 2 Frakturen betreffen eine Wirbelendplatte ohne oder mit nur geringer Beteiligung der Hinterkante. Sie können erfolgreich konservativ oder operativ behandelt werden. Als Hilfestellung zur Therapieentscheidung kann der OF-Score herangezogen werden. Eine Nachsinterung ist nicht unüblich und betrifft vor allem Patienten mit einem T-Score von <–3. Sie stellt jedoch ohne eine gleichzeitig auftretende klinische Verschlechterung keine Indikation zum operativen Vorgehen dar.
Abstract
Thoracolumbar OF 2 fractures affect one endplate without or with only minor involvement of the posterior wall. They can be treated successfully with both surgical and non-surgical treatment. The OF-score can aid in term of therapeutic decision making. Progressive sintering is common especially in patients with a T-score <–3. However, sintering alone without simultaneous clinical deterioration does not indicate surgical treatment.
Schlüsselwörter
osteoporotische Wirbelkörperfraktur - thorakolumbal - OF-Klassifikation - OF-Score - konservative TherapieKeywords
osteoporotic vertebral fracture - thoracolumbar - OF classification - OF score - non-operative treatmentPublication History
Article published online:
07 February 2024
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