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

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<jats:sec><jats:title>Study Design:</jats:title><jats:p> Expert opinion. </jats:p></jats:sec><jats:sec><jats:title>Objectives:</jats:title><jats:p> Osteoporotic vertebral fractures are of increasing medical importance. For an adequate treatment strategy, an easy and reliable classification is needed. </jats:p></jats:sec><jats:sec><jats:title>Methods:</jats:title><jats:p> 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. </jats:p></jats:sec><jats:sec><jats:title>Results:</jats:title><jats:p> 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). </jats:p></jats:sec><jats:sec><jats:title>Conclusions:</jats:title><jats:p> The proposed OF classification is easy to use and provides superior clinical differentiation of the typical osteoporotic fracture morphologies. </jats:p></jats:sec>

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