Compliance with wearing a thoracolumbar orthosis in nonoperative treatment of osteoporotic vertebral fractures: a prospective sensor-controlled study

Furrer, Pascal Raffael; Hodel, Sandro; Wanivenhaus, Florian; Grubhofer, Florian; Farshad, Mazda

doi:10.1016/j.spinee.2022.11.009

Cited by 4 publications

(2 citation statements)

References 25 publications

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“…However, systematic reviews [133-135] and meta-analyses of RCTs [136] indicated the low quality of this evidence (evidence level 2++). In addition, compliance with the use of spinal orthoses is low and demonstrates a high variability, particularly by gender, although associated with BMI, age, and level of spinal pain syndrome [137].…”

Section: Lifestyle Modification and Diet Correction In The Management...mentioning

confidence: 99%

Guideline for diagnostic, prevention and treatment of postmenopausal osteoporosis

Grygorieva,

Kovalenko,

Коrzh

et al. 2023

PJS

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Background. Postmenopausal osteoporosis (PMO), which is developed due the estrogen defi ciency in women after menopause, is the most common type of systemic osteoporosis. The latest Ukrainian recommendation for its management requires revision due to new data from high-quality research performed in recent years. The purpose was to develop a guideline on the diagnosis, prevention, and treatment of PMO based on an analytical analysis of modern literary sources in order to improve the awareness of the medical community of Ukraine. Methodology. To develop the guideline, an expert group of 13 leading Ukrainian scientists of various specialties was created who conducted a tho rough review of modern literature on this topic, assessed the level of existing evidence using the GRADE system, proposed and voted on 15 recommendations of the guideline. Results. The guideline contains chapters on diagnosis and diff erential diagnosis of PMO, assessment of the osteoporotic fracture risk, the role of bone turnover markers in the management of PMO, and modern strategies of antiosteoporotic treatment. Conclusions. The Ukrainian guideline on the diagnosis, prevention, and treatment of PMO, which contains 15 main recommendations, created on the basis of a tho rough analysis and synthesis of modern literature data, is an important tool for the management of PMO and is recommended by Ukrainian Association of Osteoporosis for use in Ukrainian me dical community.

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Section: Lifestyle Modification and Diet Correction In The Management...mentioning

confidence: 99%

Guideline for diagnostic, prevention and treatment of postmenopausal osteoporosis

Grygorieva,

Kovalenko,

Коrzh

et al. 2023

PJS

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“…Clinicians lack sufficient information regarding the particular type of brace, indications, and time to remove [ 21 ]. Additionally, a number of papers claimed that there is poor compliance and wide variation in the use of spinal orthoses [ 26 ]. The strength of recommending spinal orthoses to patients with OVF remained uncertain as a result of the paucity of high-quality evidence [ 6 , 19 ].…”

Section: Conservative Treatmentmentioning

confidence: 99%

Management of Osteoporotic Vertebral Fracture: Review Update 2022

Jang

Kim²,

Lee

et al. 2022

Asian Spine J

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A vertebral fracture is the most common type of osteoporotic fracture. Osteoporotic vertebral fractures (OVFs) cause a variety of morbidities and deaths. There are currently few “gold standard treatments” outlined for the management of OVFs in terms of quantity and quality. Conservative treatment is the primary treatment option for OVFs. The treatment of pain includes short-term bed rest, analgesic medication, anti-osteoporotic medications, exercise, and a brace. Numerous reports have been made on studies for vertebral augmentation (VA), including vertebroplasty and kyphoplasty. There is still debate and controversy about the effectiveness of VA in comparison with conservative treatment. Until more robust data are available, current evidence does not support the routine use of VA for OVF. Despite the fact that the majority of OVFs heal without surgery, 15%–35% of patients with an unstable fracture, persistent intractable back pain, or severely collapsed vertebra that causes a neurologic deficit, kyphosis, or chronic pseudarthrosis frequently require surgery. Because no single approach can guarantee the best surgical outcomes, customized surgical techniques are required. Surgeons must stay current on developments in the osteoporotic spine field and be open to new treatment options. Osteoporosis management and prevention are critical to lowering the risk of future OVFs. Clinical studies on bisphosphonate’s effects on fracture healing are lacking. Teriparatide was intermittently administered, which dramatically improved spinal fusion and fracture healing while lowering mortality risk. According to the available literature, there are no standard management methods for OVFs. More multimodal approaches, including conservative and surgical treatment, VA, and medications that treat osteoporosis and promote fracture healing, are required to improve the quality of the majority of guidelines.

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Sensor-Controlled Patient Compliance with Postoperative Splinting after Dupuytren's Surgery

Van Hove,

Caekebeke,

Duerinckx

2024

Hand Surgery and Rehabilitation

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Compliance with wearing a thoracolumbar orthosis in nonoperative treatment of osteoporotic vertebral fractures: a prospective sensor-controlled study

Cited by 4 publications

References 25 publications

Guideline for diagnostic, prevention and treatment of postmenopausal osteoporosis

Guideline for diagnostic, prevention and treatment of postmenopausal osteoporosis

Management of Osteoporotic Vertebral Fracture: Review Update 2022

Sensor-Controlled Patient Compliance with Postoperative Splinting after Dupuytren's Surgery

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