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            [0] => The role of AO Spine-DGOU Osteoporotic Fracture classification system in decision making: our experience
        )

    [etablissement] => Array
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            [0] => Hopital charles Nicolle
        )

    [nom] => Array
        (
            [0] => Bennour
        )

    [prenom] => Array
        (
            [0] => Souha
        )

    [email] => Array
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            [0] => souha.bennour@etudiant-fmt.utm.tn
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    [telephone] => Array
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            [0] => 95799471
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            [0] => 
 
Nom prénom / Name Surname: Bennour/Souha
Email: souha.bennour@etuidant-fmt.utm.tn
Hôpital / Hospital: Hopital Charles Nicolle

 
Nom prénom / Name Surname: Ben Abid Ahmed
Email: benabidahmed9689@gmail.com
Hôpital / Hospital: Hopital Charles Nicolle

 
Nom prénom / Name Surname: Benammou Adnene
Email: adnene.benammou@gmail.com
Hôpital / Hospital: Hopital Charles Nicolle

 
Nom prénom / Name Surname: Souissi Meriam
Email: souiss.meriem1@gmail.com
Hôpital / Hospital: Hôpital Charles Nicolle

 
Nom prénom / Name Surname: Ben Abdeladhim Yasmine
Email: yasminebenabdeladhim@gmail.com
Hôpital / Hospital: Service de Radiologie Hopital Charles Nicolle

 
Nom prénom / Name Surname: Ben Salah Mohamed
Email: mbensalah94@yahoo.fr
Hôpital / Hospital: Hopital Charles Nicolle

        )

    [mots_cles] => Array
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            [0] => Spinal Surgery Vertebral fracture osteoporosis;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

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            [0] => 1
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            [0] => none
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    [user_email] => Array
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            [0] => souha.bennour@etudiant-fmt.utm.tn
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    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => INTRODUCTION
Osteoporotic vertebral fractures represent an entity of an increasing occcurence in a particularly frail, multi-diseased and constantly aging population. The absence of a universal definition and uncodified management of this underdiagnosed entity motivated the establishment of a new classification system by AO spine-DGOU. The aim of this study was to report the value of this classification system in the management of osteoporotic fractures in our experience.
METHODS
We conducted a retrospective, including patients with thoraco-lumbar osteoporotic fractures treated surgically. The judgement criteria were based on the neurological status, the classification of the fracture, the pain intensity according to the Visual Analogic Scale in the pre and postoperative periods, the type of treatment, the deformity correction and the postoperative outcomes.
RESULTS
36 patients with a mean age of 65 years old were included in this study that spanned over 4 years . The mean follow-up period was 17 months. All patients were free of neurological symptoms.
We had zero patients with OF1 fracture, four had OF2  and were treated with vertebroplasty, five had OF3 of which 2 were managed with kyphoplasty and 3 with vertebroplasty, twelve had OF4 managed with kyphoplasty (10) and vertebroplasty (2) and fifteen had OF5 treated using kyphoplasty (10) and vertebroplasty (5). The day after the surgery, 34 patients were able to deambulate and 31 patients were discharged. The mean VAS dropped from 5.82 in preoperative to 2.92 in postoperative . The drop of vertebral kyphosis was of 2.1°, regional kyphosis of 2.3° and Beck's index of 0.04.
CONCLUSION
The AO spine-DGOU classification system allowed in our experience a universal assessment and treatment algorithm. A larger prospective study should be realized to confirm the interest of this classification in decision making in vertebral osteoporotic fractures.
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