Publications by authors named "U J Spiegl"
[Current surgical treatment concepts for traumatic thoracic and lumbar vertebral fractures in adults with good bone quality].
Unfallchirurgie (Heidelb)
December 2024
The surgical treatment of traumatic vertebral body fractures in patients with good bone quality is controversially discussed. The data situation is unclear and only of limited help due to mainly insufficient evidence. The surgical measures include an axially aligned reduction and an osteosynthesis which is stable under load so that immediate mobilization of the patient is possible.
View Article and Find Full Text PDFBackground: There is a gap in evidence about medical outcomes in oldest-old patients (aged 85 and older) with vertebral fractures (VFs). The aim of this study was to evaluate the impact of patient and fracture characteristics on "short-term" hospital outcomes.
Methods: All patients aged ≥ 85 presenting an acute or subsequent VF at our single level I spine center between 2019 and 2021 requiring hospital treatment were included.
Article Synopsis
- The study aimed to create an easy-to-use score, called the OF Pelvis Score, to help decide between non-operative and surgical treatments for patients with osteoporotic pelvic fractures.
- The score was developed through expert consensus based on extensive analysis of fractures and includes factors like fracture type, pain level, mobility, and overall health, categorizing scores below, above, or equal to 8 for treatment recommendations.
- In a retrospective evaluation of 107 patients, the score guided therapy decisions effectively, with a high compliance rate, and emphasized its adaptable nature as patient conditions evolve.
Article Synopsis
- The study evaluated the reliability of the AO Spine-DGOU Osteoporotic Fracture classification system using a cross-sectional survey with 23 trauma experts rating 33 cases at two different times.
- The calculated kappa statistics indicated moderate inter-rater agreement and substantial intra-rater reproducibility, suggesting that while raters differed slightly, individual consistency was high.
- The findings highlight the importance of training in improving the reliability of the classification system for identifying fracture patterns and guiding treatment.
[Cervical Spine Injuries].
Z Orthop Unfall
August 2024
Article Synopsis
- About one-third of cervical spine injuries happen in the upper section, specifically between the base of the skull (occiput) and the second cervical vertebra, with 70% of injuries occurring at this location.
- Types of injuries in this area include atlas fractures, occipital condyle fractures, and injuries to ligaments associated with the upper cervical spine.
- Treatment options range from conservative therapy for stable injuries to surgical intervention for unstable cases, with the article covering details on injury frequency, diagnosis, classification, and standard treatment methods.