Thoraco-lumbar-sacral orthoses in older people - A narrative literature review.
Injury
; 54(10): 110986, 2023 Oct.
Article
em En
| MEDLINE
| ID: mdl-37579687
ABSTRACT
Fractures in the thoracolumbar region have a bimodal distribution, with an increasing number of older people presenting with acute vertebral fractures after atraumatic or low energy mechanisms of injury. In the absence of neurological compromise and significant vertebral instability, thoracolumbar fractures are often managed conservatively and bracing is widely recommended. However, in older cohorts, bracing is often ill fitting and poorly tolerated with non-compliance leading to prolonged immobilization. Systematic reviews and meta-analyses have challenged the motive of bracing, but as evidence quality is low, the role of exploratory analysis has been limited. This descriptive review summarises and examines the current evidence that underpins the use of spinal orthoses, specific to older patients, in an effort to streamline its judicious use in clinical practice and identify scope to direct further research.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Fraturas da Coluna Vertebral
/
Vértebras Lombares
Limite:
Aged
/
Humans
Idioma:
En
Revista:
Injury
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Reino Unido