Early mobilization with customized TLSO brace in thoracolumbar burst fractures

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dc.contributor.authorÖztürk, İrfan
dc.contributor.authorErtürer, Erden
dc.contributor.authorSönmez, Mehmet Mesut
dc.contributor.authorSarı, Seçkin
dc.contributor.authorŞeker, Ali
dc.contributor.authorSeçkin, Mustafa Faik
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:37:32Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:37:32Z
dc.date.issued2012
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: This study aimed to research the effectiveness of customized thoracolumbosacral orthosis treatment for stable burst type thoracolumbar vertebral fractures without neurological deficits. Methods: The study included 26 patients (14 males, 12 females; mean age: 46.03 years; range: 18 to 64 years) conservatively treated for thoracolumbar (T11-L2) burst type vertebral fractures according to Denis classification between 2002 and 2009. Etiology were a fall from various heights in 12 patients (46.2%), motor vehicle accidents as an occupant in 7 (26.9%) and as a pedestrian in 4 (15.4%), and simple fall in 3 (11.5%). None of the patients had neurologic deficit and no damage was found in the posterior ligamentous complex in MRI evaluations. Denis pain and functional scales were used in the clinical evaluation. Local kyphosis angle, sagittal index and height loss percentage were measured in the radiologic evaluation. Post-fracture and follow-up values were compared. Mean follow-up period was 41.30 (range: 14 to 80) months. Results: Mean pain and functional scores were 1.65 and 1.15 points, respectively, at the final followup. Twenty patients returned to their pre-trauma work and activities completely and six patients with small limitations. Mean period for returning to work was 3.64 (range: 2 to 6) months. Local kyphosis angle, sagittal index and height loss percentage values increased significantly at follow-up (p<0.05). Conclusion: The conservative treatment of stable thoracolumbar burst fractures is widely accepted. Early mobilization with customized TLSO brace appears to produce effective functional results despite loss of vertebral body height.
dc.identifier.citationÖztürk, İ., Ertürer, E., Sönmez, M. M., Sarı, S., Seker, A. ve Seçkin, M. F. (2012). Early mobilization with customized TLSO brace in thoracolumbar burst fractures. Acta Orthopaedica et Traumatologica Turcica, 46(5-6), 373-378. https://dx.doi.org/10.3944/AOTT.2012.2830.
dc.identifier.doi10.3944/AOTT.2012.2830
dc.identifier.endpage378
dc.identifier.issn1017-995X
dc.identifier.issue45448
dc.identifier.scopusqualityQ3
dc.identifier.startpage373
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1422
dc.identifier.urihttps://dx.doi.org/10.3944/AOTT.2012.2830
dc.identifier.volume46
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Society of Orthopaedics and Traumatology
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectMobilization
dc.subjectStable burst fracture
dc.subjectThoracolumbar fracture
dc.subjectTLSO brace
dc.titleEarly mobilization with customized TLSO brace in thoracolumbar burst fractures
dc.typeArticle

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