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Similar pain relief, function seen with orthosis vs no for orthosis for thoracolumbar burst fractures
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At 5-year to 10-year follow-up, patients with thoracolumbar burst fractures treated with early mobilization without a thoracolumbosacral orthosis had pain relief and functional improvements comparable to patients treated with a thoracolumbosacral orthosis, according to recently published results.
Researchers studied 16 patients randomized to receive a thoracolumbosacral orthosis (TLSO) and 20 patients who were randomized to the no orthosis group. All patients had kyphotic deformities of less than 35° and had AO type A3 burst fractures between T-10 and L-3. The primary outcome was the Roland Morris Disability Questionnaire (RMDQ) score at 5-year to 10-year follow-up and other outcome measures included kyphosis, satisfaction, Numeric Rating Scale for back pain, SF-12 mental component summary and physical component summary scores.
At 5-years to 10-years postinjury, the RMDQ for patients treated with TLSO and those treated with no orthosis was 3.6 and 4.8, respectively. Investigators noted the average kyphosis for patients treated with TLSO vs. patients treated with no orthosis was 18.3° and 18.6°. The time-weighted average treatment effects for RMDQ 1.9, for physical component score -2.5, for mental component score -1.2 and for average pain score 0.7 were not significantly different between the groups. – by Monica Jaramillo
Disclosures: Urquhart reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.
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