Table 1c.
Researcher | Number | Age | Follow-up | Intervention | Procedure | Results |
---|---|---|---|---|---|---|
Ohana et al.10 | 33 subjects with type A thoracolumbar fracture (T11–L4). | No information | No information | Subjects ambulate with a lumbar orthosis. | Patients with neurological deficient were excluded. Restriction in body function was measured. Restriction in participation in life was also measured. |
90% of the subjects return to their work. 37% of patients were not able to perform dynamic lifting test in normal range. Patients do reasonably well with conservative treatment 5 years after treatment. The results showed that thoracolumbar fractures with compression as much as 30% can be treated with early ambulation with no external support. |
Hartman et al.34 | 32 patients with stable neurological deficit (23 men, 9 women) at T3–L5. (20 burst fracture, 6 fracture dislocation, 5 compression fracture, 1 gunshot) |
3.68 | 22.3 months (12–60) |
Molded TLSO | Frankel system was used for assessing neurological deficient. Molded TLSO orthosis was used for 2–3 months. Radiographic X-Ray evaluation was done. |
Kyphosis = Progressed by 5.7 degree Average decrease vertebral height= 9.7% 2 complications Use of non-operative treatment can result in low morbidity and excellent outcome. Neurological injury and multitrauma are not always contraindicated to non-operative treatment. |
Argenson et al.21 | 10 patients with thoracic spine fractures (T1–T10). 57% compression fracture, 20% burst fracture, 2.8% flexion distraction and 23% fracture dislocation. | No information | No information | No information | Use of orthosis | Conservative treatment was difficult because of associated parietal lesions. These subjects had only moderate reductions that maintain poorly in time, but had no major painful sequence. |