{"id":"https://openalex.org/W7221667271","doi":"https://doi.org/10.1016/j.bas.2026.107472","title":"Patient characteristics, fracture distribution and management patterns of incomplete thoracolumbar burst fractures: Results from a retrospective multicenter cohort of 982 patients","display_name":"Patient characteristics, fracture distribution and management patterns of incomplete thoracolumbar burst fractures: Results from a retrospective multicenter cohort of 982 patients","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7221667271","doi":"https://doi.org/10.1016/j.bas.2026.107472","pmid":"https://pubmed.ncbi.nlm.nih.gov/42921397","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13693099"},"language":"en","primary_location":{"id":"doi:10.1016/j.bas.2026.107472","doi":"https://doi.org/10.1016/j.bas.2026.107472","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bas.2026.107472","pdf_url":null,"source":{"id":"https://openalex.org/S4210215356","display_name":"Brain and Spine","issn_l":"2772-5294","issn":["2772-5294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain and Spine","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.bas.2026.107472","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5054008344","display_name":"Eric Mandelka","orcid":"https://orcid.org/0000-0002-7337-2783","observed_orcids":["https://orcid.org/0000-0002-7337-2783"]},"institutions":[{"id":"https://openalex.org/I223822909","display_name":"Heidelberg University","ror":"https://ror.org/038t36y30","country_code":"DE","type":"education","lineage":["https://openalex.org/I223822909"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Eric Mandelka","raw_affiliation_strings":["BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, Ludwigshafen, 67071, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, Ludwigshafen, 67071, Germany","institution_ids":["https://openalex.org/I223822909"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158654544","display_name":"Mikel Schmelzle Elorriaga","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I223822909","display_name":"Heidelberg University","ror":"https://ror.org/038t36y30","country_code":"DE","type":"education","lineage":["https://openalex.org/I223822909"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Mikel Schmelzle Elorriaga","raw_affiliation_strings":["BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, Ludwigshafen, 67071, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, Ludwigshafen, 67071, Germany","institution_ids":["https://openalex.org/I223822909"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015196011","display_name":"Andreas Badke","orcid":"https://orcid.org/0000-0003-0577-2248","observed_orcids":["https://orcid.org/0000-0003-0577-2248"]},"institutions":[{"id":"https://openalex.org/I3019120314","display_name":"BG Klinik T\u00fcbingen","ror":"https://ror.org/04wwp6r22","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I3019120314"]},{"id":"https://openalex.org/I4405257299","display_name":"BG Kliniken","ror":"https://ror.org/054224v54","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4405257299"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Andreas Badke","raw_affiliation_strings":["Center for Spinal Surgery and Spinal Cord Injury, BG Kliniken Ludwigshafen und T\u00fcbingen gGmbH, BG Klinik T\u00fcbingen, T\u00fcbingen, 72076, Germany"],"raw_orcid":"https://orcid.org/0000-0003-0577-2248","affiliations":[{"raw_affiliation_string":"Center for Spinal Surgery and Spinal Cord Injury, BG Kliniken Ludwigshafen und T\u00fcbingen gGmbH, BG Klinik T\u00fcbingen, T\u00fcbingen, 72076, Germany","institution_ids":["https://openalex.org/I3019120314","https://openalex.org/I4405257299"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123946770","display_name":"Sandra Buchmann","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210138722","display_name":"BG Klinikum Duisburg","ror":"https://ror.org/03vc76c84","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210138722"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sandra Buchmann","raw_affiliation_strings":["BG Klinikum Duisburg gGmbH, Duisburg, 47249, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BG Klinikum Duisburg gGmbH, Duisburg, 47249, Germany","institution_ids":["https://openalex.org/I4210138722"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108453141","display_name":"Stefan Hauck","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105334","display_name":"Berufsgenossenschaftliche Unfallklinik Murnau","ror":"https://ror.org/01fgmnw14","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210105334"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Stefan Hauck","raw_affiliation_strings":["Center for Spinal Surgery, BG Klinikum Murnau gGmbH, Murnau am Staffelsee, 82418, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Spinal Surgery, BG Klinikum Murnau gGmbH, Murnau am Staffelsee, 82418, Germany","institution_ids":["https://openalex.org/I4210105334"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5018630232","display_name":"Peter Heumann","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210108951","display_name":"Unfallkrankenhaus Berlin","ror":"https://ror.org/011zjcv36","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210108951"]},{"id":"https://openalex.org/I4405257299","display_name":"BG Kliniken","ror":"https://ror.org/054224v54","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4405257299"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Peter Heumann","raw_affiliation_strings":["BG Klinikum Unfallkrankenhaus Berlin gGmbH, Berlin, 12683, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BG Klinikum Unfallkrankenhaus Berlin gGmbH, Berlin, 12683, Germany","institution_ids":["https://openalex.org/I4210108951","https://openalex.org/I4405257299"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5135127177","display_name":"Frank Kandziora","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210150912","display_name":"Berufsgenossenschaftliche Unfallklinik Frankfurt am Main","ror":"https://ror.org/04kt7f841","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210150912"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Frank Kandziora","raw_affiliation_strings":["Center for Spinal Surgery and Neurosurgery, BG Unfallklinik Frankfurt am Main gGmbH, Frankfurt am Main, 60389, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Spinal Surgery and Neurosurgery, BG Unfallklinik Frankfurt am Main gGmbH, Frankfurt am Main, 60389, Germany","institution_ids":["https://openalex.org/I4210150912"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158554771","display_name":"Christiane Kruppa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210139845","display_name":"BG University Hospital Bergmannsheil Bochum","ror":"https://ror.org/04j9bvy88","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I2799784675","https://openalex.org/I4210139845"]},{"id":"https://openalex.org/I904495901","display_name":"Ruhr University Bochum","ror":"https://ror.org/04tsk2644","country_code":"DE","type":"education","lineage":["https://openalex.org/I904495901"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Christiane Kruppa","raw_affiliation_strings":["Berufsgenossenschaftliches Universit\u00e4tsklinikum Bergmannsheil gGmbH, Ruhr-Universit\u00e4t Bochum, Bochum, 44789, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Berufsgenossenschaftliches Universit\u00e4tsklinikum Bergmannsheil gGmbH, Ruhr-Universit\u00e4t Bochum, Bochum, 44789, Germany","institution_ids":["https://openalex.org/I4210139845","https://openalex.org/I904495901"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5123910380","display_name":"Sebastian Kr\u00fcger","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210166958","display_name":"BG Klinikum Hamburg","ror":"https://ror.org/05jw2mx52","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210166958","https://openalex.org/I4405257299"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Sebastian Kr\u00fcger","raw_affiliation_strings":["Spine Center, BG Klinikum Hamburg gGmbH, Hamburg, 21033, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spine Center, BG Klinikum Hamburg gGmbH, Hamburg, 21033, Germany","institution_ids":["https://openalex.org/I4210166958"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158613724","display_name":"Bernhard W. Ullrich","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210153316","display_name":"BG Klinikum Bergmannstrost Halle","ror":"https://ror.org/042g9vq32","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210153316"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"Bernhard W. Ullrich","raw_affiliation_strings":["BG Klinikum Bergmannstrost Halle gGmbH, 06112 Halle, Germany and University Medicine Halle, Halle, 06120, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BG Klinikum Bergmannstrost Halle gGmbH, 06112 Halle, Germany and University Medicine Halle, Halle, 06120, Germany","institution_ids":["https://openalex.org/I4210153316"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5080212903","display_name":"Sven Yves Vetter","orcid":"https://orcid.org/0000-0001-8024-9276","observed_orcids":["https://orcid.org/0000-0001-8024-9276"]},"institutions":[{"id":"https://openalex.org/I223822909","display_name":"Heidelberg University","ror":"https://ror.org/038t36y30","country_code":"DE","type":"education","lineage":["https://openalex.org/I223822909"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"Sven Y. Vetter","raw_affiliation_strings":["BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, Ludwigshafen, 67071, Germany"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"BG Klinik Ludwigshafen, Department for Orthopaedics and Trauma Surgery at Heidelberg University, Ludwig-Guttmann-Str. 13, Ludwigshafen, 67071, Germany","institution_ids":["https://openalex.org/I223822909"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":["https://openalex.org/A5080212903"],"corresponding_institution_ids":["https://openalex.org/I223822909"],"apc_list":{"value":1950,"currency":"USD","value_usd":1950},"apc_paid":{"value":1950,"currency":"USD","value_usd":1950},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.80103114,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":null,"first_page":"107472","last_page":"107472"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10776","display_name":"Spinal Fractures and Fixation Techniques","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11467","display_name":"Trauma and Emergency Care Studies","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.7239999771118164},{"id":"https://openalex.org/keywords/conversion-to-surgery","display_name":"conversion to surgery","score":0.7369999885559082},{"id":"https://openalex.org/keywords/treatment-patterns","display_name":"treatment patterns","score":0.7039999961853027},{"id":"https://openalex.org/keywords/patient-characteristics","display_name":"patient characteristics","score":0.5860000252723694}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8567000031471252},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5486000180244446},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.487199991941452},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.4189999997615814},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.4018999934196472},{"id":"https://openalex.org/C110121322","wikidata":"https://www.wikidata.org/wiki/Q865811","display_name":"Distribution (mathematics)","level":2,"score":0.38109999895095825},{"id":"https://openalex.org/C2777663397","wikidata":"https://www.wikidata.org/wiki/Q5000637","display_name":"Burst fracture","level":2,"score":0.3765000104904175},{"id":"https://openalex.org/C43369102","wikidata":"https://www.wikidata.org/wiki/Q2307625","display_name":"Fracture (geology)","level":2,"score":0.34860000014305115},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.33889999985694885},{"id":"https://openalex.org/C3018822202","wikidata":"https://www.wikidata.org/wiki/Q1324077","display_name":"Patient data","level":2,"score":0.28610000014305115},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.25589999556541443},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2542000114917755}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.bas.2026.107472","doi":"https://doi.org/10.1016/j.bas.2026.107472","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bas.2026.107472","pdf_url":null,"source":{"id":"https://openalex.org/S4210215356","display_name":"Brain and Spine","issn_l":"2772-5294","issn":["2772-5294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain and Spine","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13693099","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13693099/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13693099/pdf/main.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain Spine","raw_type":"Text"},{"id":"pmid:42921397","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42921397","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain & spine","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:02f8a5cddeb14f7588c6fa67ee1857df","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/02f8a5cddeb14f7588c6fa67ee1857df","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Brain and Spine, Vol 6, Iss , Pp 107472-","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.bas.2026.107472","doi":"https://doi.org/10.1016/j.bas.2026.107472","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.bas.2026.107472","pdf_url":null,"source":{"id":"https://openalex.org/S4210215356","display_name":"Brain and Spine","issn_l":"2772-5294","issn":["2772-5294"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","oarl","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Brain and Spine","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7221667271.pdf","grobid_xml":"https://content.openalex.org/works/W7221667271.grobid-xml"},"referenced_works_count":26,"referenced_works":["https://openalex.org/W2047938226","https://openalex.org/W2071877200","https://openalex.org/W2088460148","https://openalex.org/W2092977268","https://openalex.org/W2484105142","https://openalex.org/W2617287717","https://openalex.org/W2742636547","https://openalex.org/W2765540505","https://openalex.org/W2891129501","https://openalex.org/W3099125920","https://openalex.org/W3157932326","https://openalex.org/W3183471898","https://openalex.org/W4200586081","https://openalex.org/W4280530774","https://openalex.org/W4304757991","https://openalex.org/W4391594743","https://openalex.org/W4391594760","https://openalex.org/W4391594771","https://openalex.org/W4407007786","https://openalex.org/W4408876898","https://openalex.org/W4415029991","https://openalex.org/W4417265994","https://openalex.org/W7138890567","https://openalex.org/W7152657603","https://openalex.org/W7154973764","https://openalex.org/W7162417066"],"related_works":["https://openalex.org/W6927570218","https://openalex.org/W2742636547","https://openalex.org/W7125550093","https://openalex.org/W7214780213","https://openalex.org/W4404757153","https://openalex.org/W4417265994","https://openalex.org/W4220721785","https://openalex.org/W7154973764","https://openalex.org/W4414999277","https://openalex.org/W7223066729"],"abstract_inverted_index":{"Introduction:":[0],"Management":[1],"of":[2,125,148],"neurologically":[3,54],"intact":[4,55],"AO":[5],"Spine":[6],"A3":[7,56],"fractures":[8,57],"remains":[9],"variable,":[10],"and":[11,17,28,37,45,72,90,105,140,187,210],"multicenter":[12,49],"data":[13],"on":[14],"treatment":[15,36,89,112,175,195,205],"patterns":[16,196],"conversion":[18,39,121,162,219],"to":[19,60,116],"surgery":[20],"are":[21,31],"limited.":[22],"Research":[23],"question:":[24],"Which":[25],"patient-,":[26],"injury-,":[27],"center-related":[29],"factors":[30,84],"associated":[32,85,154,202],"with":[33,53,77,86,155,203],"initial":[34,41,87,173,204,222],"operative":[35,88,111,174,186],"secondary":[38,91,218],"after":[40,221],"non-operative":[42,188,223],"management?":[43],"Material":[44],"methods:":[46],"This":[47],"retrospective":[48],"study":[50],"included":[51],"adults":[52],"from":[58,114],"T11":[59],"L2":[61],"treated":[62],"at":[63],"nine":[64],"German":[65],"Level":[66],"1":[67],"trauma":[68],"centers":[69],"between":[70],"2018":[71],"2022.":[73],"Mixed-effects":[74],"logistic":[75],"regression":[76],"center":[78],"as":[79],"a":[80],"random":[81],"intercept":[82],"evaluated":[83],"conversion.":[92,156],"Results:":[93],"<":[94],".001),":[95],"whereas":[96],"sex,":[97],"fracture":[98],"level,":[99],"additional":[100],"spinal":[101],"injury,":[102],"adjacent":[103],"fracture,":[104],"mobility-restricting":[106],"injury":[107],"were":[108,137,142,190],"not.":[109],"Initial":[110,185],"ranged":[113],"37.8%":[115],"65.0%":[117],"across":[118,198],"centers.":[119,199],"Secondary":[120],"occurred":[122],"in":[123],"66":[124],"486":[126],"initially":[127],"non-operatively":[128],"managed":[129],"patients":[130],"(13.6%;":[131],"95%":[132],"confidence":[133],"interval":[134],"10.7-17.0%);":[135],"58":[136],"clinically":[138],"documented":[139],"8":[141],"identified":[143],"solely":[144],"by":[145],"timing.":[146],"None":[147],"the":[149,216],"examined":[150],"characteristics":[151,212],"was":[152,159,201],"independently":[153],"Between-center":[157],"variation":[158],"greater":[160],"for":[161,172],"(intraclass":[163,176],"correlation":[164,177],"coefficient":[165,178],"0.16;":[166],"median":[167,180],"odds":[168,181],"ratio":[169,182],"2.13)":[170],"than":[171],"0.05;":[179],"1.49).":[183],"Conclusion:":[184],"strategies":[189],"used":[191],"equally":[192],"often,":[193],"although":[194],"varied":[197],"Age":[200],"allocation,":[206],"but":[207],"measured":[208],"patient-":[209],"injury-related":[211],"did":[213],"not":[214],"explain":[215],"13.6%":[217],"rate":[220],"management.":[224]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-14T00:00:00"}
