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Review
. 2009 Apr;80(2):226-32.
doi: 10.3109/17453670902875245.

No evidence for the effectiveness of bracing in patients with thoracolumbar fractures

Boukje M Giele  1 , Suzanne H Wiertsema, Anita Beelen, Marike van der Schaaf, Cees Lucas, Henk D Been, Jos A M Bramer
Affiliations
Review

No evidence for the effectiveness of bracing in patients with thoracolumbar fractures

Boukje M Giele et al. Acta Orthop. 2009 Apr.

Abstract

Background and purpose: The use of braces is widespread in patients with thoracolumbar fractures. The effectiveness of bracing, however, is controversial. We sought evidence for the effect of bracing in patients with traumatic thoracolumbar fractures based on outcome and length of hospital stay (LOS). Furthermore, we evaluated the incidence of complications of bracing.

Methods: An electronic search strategy with extensive MeSH headings was used in various databases to identify studies that compared bracing and non-bracing therapies. Two reviewers independently selected systematic reviews, randomized controlled trials (RCTs), controlled clinical trials, and observational studies, and both assessed the methodological quality and extracted the data.

Results: No systematic reviews or RCTs were found. 7 retrospective studies were included. None of these studies showed an effect of bracing. Because of poor methodological quality, no best-evidence synthesis could be performed. One observational study was selected in which a complication of bracing was reported.

Interpretation: In the present literature, there is no evidence for the effectiveness of bracing in patients with traumatic thoracolumbar fractures. The lack of high-quality studies prevents relevant conclusions from being drawn.

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Figures

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Flow chart of study selection.
See this image and copyright information in PMC

References

    1. Axelsson P, Johnsson R, Stromqvist B. Effect of lumbar orthosis on intervertebral mobility. A roentgen stereophotogrammetric analysis. Spine. 1992;17:678–81. - PubMed
    1. Bakker FC, Segers MJM, Patka P. Operative treatment of thoracolumbar spinal fractures. Ned tijdschrift traum. 2002;5:123–32.
    1. Benzel EC, Larson SJ. Postoperative stabilization of the posttraumatic thoracic and lumbar spine: a review of concepts and orthotic techniques. J Spinal Disord. 1989;2:47–51. - PubMed
    1. Blamoutier A, Milaire M, Garreaude LC, Lassale B, Deburge A. Cotrel-Dubousset instrumentation in the treatment of thoracolumbar and lumbar spine fractures. Rev Chir Orthop Reparatrice Appar Mot. 1992;78:529–35. - PubMed
    1. Blauth M, Bastian L, Knop C, Lange U, Tusch G. Inter-observer reliability in the classification of thoraco-lumbar spinal injuries. Orthopade. 1999;28:662–81. - PubMed

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