Authors: Luigi Meccariello Vitaliano F Muzii Gabriele Falzarano Antonio Medici Serafino Carta Mattia Fortina Paolo Ferrata
Publish Date: 2016/07/08
Volume: 29, Issue: 3, Pages: 443-449
Abstract
One hundred forty patients aged 65–93 years sustaining osteoporotic vertebral fracture were consecutively recruited and divided into two groups and treated with either threepoint orthosis or dynamic corset Patients were evaluated with Visual Analogue Scale Oswestry Low Back Pain Disability Questionnaire and measurement of forced expiratory volume in the first second Regional kyphosis angle Delmas Index and height of the fractured vertebral body were also measured on fullspine Xrays Followup intervals were 1 3 and 6 months after trauma The complications encountered during the 6month followup were recordedAt the 3 and 6month followups there was a significant difference p 005 in pain disability and respiration in favor of the dynamic orthosis group At 6month followup there was no significant difference p 005 in all the radiological parameters between groups Complications were reported for 28 patients in the threepoint orthosis group and for eight patients in the dynamic corset group p 005Compared to threepoint orthosis patients treated with dynamic orthosis had a greater reduction in pain and a greater improvement in quality of life and respiratory function with equal effectiveness in stabilizing the fracture and fewer complications
Keywords: