60 patients over 50 years of age with a stable, acute, osteoporotic thoracolumbar compression fracture were randomized to receive treatment with either no-brace, a soft-brace, or a rigid-brace. The purpose of this study was to evaluate whether treatment with no brace offered similar results to that of 8-week wear of a soft brace or rigid brace, with respect to disability and pain. Patients were followed-up at 12 weeks after injury. The primary outcome was the Oswestry Disability Index score, which showed no significant difference between groups after 12 weeks. Furthermore, secondary assessments of back pain and progression of anterior body compression were also similar among groups.