The effects of orthosis on thoracolumbar fracture healing: A review of the literature

Karimi, Mohammad Taghi

doi:10.1016/j.jor.2015.10.014

Cited by 9 publications

(6 citation statements)

References 28 publications

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“…Among the various systematic reviews capable of providing meaningful information on the use of corsets, we cite the study by Karimi (10). The author analyzed nine studies including two randomized controlled parallel group studies, four randomized crossover studies, two before-and-after studies and a parallel group observational study.…”

Section: Discussionmentioning

confidence: 99%

Stabilometric Assesment of Postural Changes Induced by Spine Orthoses in a Geriatric Population

Molfetta

Seriolo²,

Casabella³

et al. 2019

ijsr

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Section: Discussionmentioning

confidence: 99%

Stabilometric Assesment of Postural Changes Induced by Spine Orthoses in a Geriatric Population

Molfetta

Seriolo²,

Casabella³

et al. 2019

ijsr

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“…The type of orthosis studied and further characteristics are summarized in Table 3. 20 Jacobs et al, 201 9 21 Li et al, 201 5 22 Valentin et al, 201 3 23 Vogt et al, 200 8 24 Dionyssiotis et al, van Leeuwen et al, 200 0 29 Jones et al, 198 7 30 Alin et al, 201 9 31 Stadhouder et al, 200 9 32 Chiba et al, 201 1 33 Review article Ameis et al, 201 8 34 Muratore et al, 201 8 35 Rajasekaran et al, 201 7 36 Goodwin et al, 201 6 37 Jin et al, 201 6 38 McCarthy et al, 201 6 39 Newman et al, 201 6 40 Karimi et al, 201 5 41 Rzewuska et al, 201 5 42 Chang et al, 201 4 43 Longo et al, 201 1 44 Lin…”

Section: Study Characteristicsmentioning

confidence: 99%

The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

Kweh

Lee

Tan

et al. 2020

Global Spine Journal

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Study Design: Systematic review. Objective: Spinal orthoses have been generally used in the management of osteoporotic vertebral fractures in the elderly population with purported positive biomechanical and functional effects. To our knowledge, this is the first systematic review of the literature examining the role of spinal orthoses in osteoporotic elderly patients who sustain low energy trauma vertebral fractures. Methods: A systematic literature review adherent to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted. Methodical searches utilizing MEDLINE, EMBASE, Google Scholar, and Cochrane Databases was performed. Results: Of the 2019 articles initially retrieved, 7 published articles (4 randomized controlled trials and 3 prospective cohort studies) satisfied the inclusion criteria. Five studies reported improvement in quantitative measurements of spinal column stability when either a rigid or semirigid orthosis was used, while 1 study was equivocal. The studies also showed the translation of biomechanical benefit into significant functional improvement as manifested by improved postural stability and reduced body sway. Subjective improvement in pain scores and quality of life was also noted with bracing. Conclusion: The use of spinal orthoses in neurologically intact elderly patients aged 60 years and older with osteoporotic compression vertebral fractures results in improved biomechanical vertebral stability, reduced kyphotic deformity, enhanced postural stability, greater muscular strength and superior functional outcomes.

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“…9,10 Furthermore, there have been several articles showing negligible benefit from CM-TLSO use in patients with TL fractures. 8,[11][12][13][14] A literature review by Karimi argued that the use of orthotics can reduce pain but did not prevent local kyphosis. 13 The majority of current literature focuses on the low utility of CM-TLSOs, which are more expensive and take longer to fit than an off-the-shelf (OS) TLSO.…”

Section: Introductionmentioning

confidence: 99%

“…8,[11][12][13][14] A literature review by Karimi argued that the use of orthotics can reduce pain but did not prevent local kyphosis. 13 The majority of current literature focuses on the low utility of CM-TLSOs, which are more expensive and take longer to fit than an off-the-shelf (OS) TLSO. Shamji et al found that LOS in a CM-TLSO treated group was 6.3 days, compared to 2.8 days in a non-TLSO treatment group.…”

Section: Introductionmentioning

confidence: 99%

Reducing Radiation and Lowering Costs With a Standardized Care Pathway for Nonoperative Thoracolumbar Fractures

Hanson

Lyons

Fournier

et al. 2019

Global Spine Journal

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Study Design:Retrospective observational study.Objective:There is marked variation in the management of nonoperative thoracolumbar (TL) compression and burst fractures. This was a quality improvement study designed to establish a standardized care pathway for TL fractures treated with bracing, and to then evaluate differences in radiographs, length of stay (LOS), and cost before and after the pathway.Methods:A standardized pathway was established for management of nonoperative TL burst and compression fractures (AOSpine classification type A1-A4 fractures). Bracing, radiographs, costs, complications, and LOS before and after pathway adoption were analyzed. Differences between the neurosurgery and orthopedic spine services were compared.Results:Between 2012 and 2015, 406 nonoperative burst and compression TL fractures were identified. A total of 183 (45.1%) were braced, 60.6% with a custom-made thoracolumbosacral orthosis (TLSO) and 39.4% with an off-the-shelf TLSO. The number of radiographs significantly reduced after initiation of the pathway (3.23 vs 2.63, P = .010). A total of 98.6% of braces were custom-made before the pathway; 69.6% were off-the-shelf after the pathway. The total cost for braced patients after pathway adoption decreased from $10 462.36 to $8928.58 (P = .078). Brace-associated costs were significantly less for off-the-shelf TSLO versus custom TLSO ($1352.41 vs $3719.53, respectively, P < .001). The mean LOS and complication rate did not change significantly following pathway adoption. The orthopedic spine service braced less frequently than the neurosurgery service (40.7% vs 52.2%, P = .023).Conclusions:Standardized care pathways can reduce cost and radiation exposure without increasing complication rates in nonoperative management of thoracolumbar compression and burst fractures.

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The effects of orthosis on thoracolumbar fracture healing: A review of the literature

Cited by 9 publications

References 28 publications

Stabilometric Assesment of Postural Changes Induced by Spine Orthoses in a Geriatric Population

Stabilometric Assesment of Postural Changes Induced by Spine Orthoses in a Geriatric Population

The Role of Spinal Orthoses in Osteoporotic Vertebral Fractures of the Elderly Population (Age 60 Years or Older): Systematic Review

Reducing Radiation and Lowering Costs With a Standardized Care Pathway for Nonoperative Thoracolumbar Fractures

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