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Higher injury severity scores yielded worse outcomes for anterior-posterior compression injuries
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Patients with anterior-posterior compression injuries and higher injury severity scores experienced worse outcomes and more pain, according to results.
Researchers used validated EuroQol five dimensions (EQ-5D), EuroQol health index, VAS pain score, Majeed pelvic scores and change in work status to evaluate 54 patients with operatively treated anterior-posterior compression type 2 and type 3 injuries. Researchers reviewed final anterior-posterior radiographs for implant failure and displacement, and documented revision surgery based on implant status and displacement at final follow-up
Results showed no statistical correlation between final displacement and EQ-5D, EuroQol health index, VAS pain or Majeed scores. Researchers noted a negative effect on outcomes among patients with displacement greater than 15 mm at final follow-up, with statistical differences identified for EQ-5D, EuroQol health index and Majeed scores. Compared with patients with type 3 injuries, researchers found a trend toward better outcomes for the EQ-5D and VAS pain scores among patients with type 2 injuries. Patients with multiple injuries experienced trends toward worse EuroQol health index and Majeed scores, as well as a significant difference in VAS pain irrespective of injury, according to results. – by Casey Tingle
Disclosures: Lybrand reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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