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COA: No difference between TLSO and no orthosis for thoracolumbar burst fractures

96 patients with AO-A3 burst fractures between T11 and L3 were randomized to receive the TLSO brace or no orthosis. At 3 months, there was no difference between the two groups for the Roland Morris Disability Questionnaire (RMDQ) score. Over 104 weeks, the two groups also did not differ with respect to pain, function, quality of life, satisfaction, sagittal alignment, duration of hospital stay, and complications. Further analyses indicated that significant improvement in the RMDQ occurred at 6 weeks for both groups and at 3 months for the control group, but there were no more improvements thereafter.

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  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
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OrthoEvidence. COA: No difference between TLSO and no orthosis for thoracolumbar burst fractures. ACE Report. 2013;3(8):562. Available from: https://myorthoevidence.com/AceReport/Report/

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