2009
DOI: 10.3171/2009.3.spine08312
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Comparison of thoracolumbosacral orthosis and no orthosis for the treatment of thoracolumbar burst fractures: interim analysis of a multicenter randomized clinical equivalence trial

Abstract: Object The authors compared the outcome of patients with thoracolumbar burst fractures treated with and without a thoracolumbosacral orthosis (TLSO). Methods As of June 2002, all consecutive patients satisfying the following inclusion criteria were considered eligible for this study: 1) the presence of an AO Classification Type A3 burst fractures between T-11 and L-3, 2) skeletal maturity and age < 60… Show more

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Cited by 67 publications
(59 citation statements)
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“…Patients with such fractures may be treated with either nonoperative or operative modalities. Nonoperative treatment may include the use of a brace, cast, bed rest, and analgesics [7,11,12,14,34,46,47]. Operative treatment usually involves instrumented intervertebral fusion, with or without spinal decompression.…”
mentioning
confidence: 99%
“…Patients with such fractures may be treated with either nonoperative or operative modalities. Nonoperative treatment may include the use of a brace, cast, bed rest, and analgesics [7,11,12,14,34,46,47]. Operative treatment usually involves instrumented intervertebral fusion, with or without spinal decompression.…”
mentioning
confidence: 99%
“…In the case reported the patient presented an A3 type fracture according to the Magerl classification, and it was not necessary to perform a postero-lateral fusion because of the integrity of the posterior tension band [2]. For this type of fracture the gold standard treatment is the use of a surgical or thesis [3], even if the functional improvement takes more time and the management of pain and mobility is less satisfying [4,5].…”
Section: Discussionmentioning
confidence: 99%
“…Under the Denis classification, this fracture type represents a 2-column injury and therefore can be considered unstable, but there exists a considerable body of literature that supports nonoperative treatment for these fractures. [2][3][4]6,15,18,22,[26][27][28]31,32,34,37,42,43,46 Burst fractures tend to occur at the thoracolumbar junction between T-11 and L-2. This area of the spine represents an interface between a relatively rigid segment of the thoracic spine, which is stabilized by the ribcage, compared with the relatively mobile segment of the lumbar spine.…”
Section: Controversies In Treatmentmentioning
confidence: 99%