• Long Term Results of Treating Thoracolumbar Burst Fractures With or Without Orthosis

    • Sep 27, 2017
    • H. Francis Farhadi, MD, PhD; Vibhu K. Viswanathan, MBBS

    • Spine

    External orthosis application for AO type 3 burst fractures in neurologically intact patients is considered a treatment option with unknown benefit. This study presents long-term follow-up results (mean 7.9 ± 1.1 years) on a subset of patients (n = 20 without and n = 16 with TLSO) from an initial randomized multicenter cohort of 96 neurologically intact adults with T10-L3 AO type 3 fractures and kyphosis <35 degrees. There were no differences in Roland Morris Disability Questionnaire (4.8±1.5 versus 3.6±0.9; p 0.486) and pain scores (2.9±0.7 versus 2.1±0.6; p 0.378) in the without and with TLSO groups, respectively. Similarly, no differences in the SF-12 physical component (45.0±3.8 versus 46.5±3.2; p 0.778) and mental component (55.2±2.4 versus 55.8±2.1; p 0.868) subscores, and satisfaction (5.6±0.5 versus 6.5±0.4; p 0.113) were noted between the two groups at long-term follow-up. Further, no time-weighted average treatment effect differences were observed for the above scores. Finally, average kyphosis was similar between the two groups (18.6°±3.8° versus 18.3°±2.2° for the without and with TLSO groups; p 0.934). Patients in this partial cohort had improved clinical outcomes in the first year with no further change over long-term follow-up time periods, irrespective of external orthosis treatment. This study provides valuable insight into long-term outcomes of non-surgically managed AO type 3 fracture patients.

    Source

    National Center for Biotechnology Information

We use cookies to improve the performance of our site, to analyze the traffic to our site, and to personalize your experience of the site. You can control cookies through your browser settings. Please find more information on the cookies used on our site here. Privacy Policy