Spine
Rigid- vs. soft thoracolumbosacral orthosis following osteoporotic vertebral compression fracture
J Clin Med. 2019 Feb 6;8(2). pii: E198. doi: 10.3390/jcm8020198284 patients with a single, acute osteoporotic vertebral compression fracture were randomized to 12 weeks use of either a rigid or soft thoracolumbosacral orthosis. Patients were assessed for radiographical and clinical outcome over 48-week follow-up. The only significant difference between groups observed was in the primary outcome measure at 12 weeks; the rigid orthosis group demonstrated a significantly lower compression of the injured vertebral body, expressed as a ratio between the anterior and posterior sections of the vertebral body. The primary outcome did not significantly differ between groups at 24 or 48 weeks, and no secondary outcome demonstrated a significant difference between groups throughout follow-up.
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