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

Giele BM, Wiertsema SH, Beelen A, van der Schaaf M, Lucas C, Been HD, Bramer JA - Acta Orthop (2009)

Bottom Line: The effectiveness of bracing, however, is controversial.An electronic search strategy with extensive MeSH headings was used in various databases to identify studies that compared bracing and non-bracing therapies.The lack of high-quality studies prevents relevant conclusions from being drawn.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. B.M.Giele@amc.uva.nl

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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Related in: MedlinePlus

Flow chart of study selection.
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Figure 0001: Flow chart of study selection.


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

Giele BM, Wiertsema SH, Beelen A, van der Schaaf M, Lucas C, Been HD, Bramer JA - Acta Orthop (2009)

Flow chart of study selection.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2823176&req=5

Figure 0001: Flow chart of study selection.
Bottom Line: The effectiveness of bracing, however, is controversial.An electronic search strategy with extensive MeSH headings was used in various databases to identify studies that compared bracing and non-bracing therapies.The lack of high-quality studies prevents relevant conclusions from being drawn.

View Article: PubMed Central - PubMed

Affiliation: Department of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. B.M.Giele@amc.uva.nl

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.

Show MeSH
Related in: MedlinePlus