Casting or Bracing? Long-Term Clinical and Radiological Outcomes of Two Conservative Modalities in Thoracolumbar Vertebral Fractures

Authors : Halil Gök, Alim Can Baymurat

Pages : 309-316

View : 33 | Download : 47

Publication Date : 2025-09-15

Article Type : Research Paper

Abstract :Objective: To evaluate and compare the long-term clinical and radiological outcomes of hyperextension casting versus Jewett bracing in the conservative management of thoracolumbar vertebral compression fractures. Methods: Patients diagnosed with stable compression fractures between T10 and L2 who were treated conservatively with either hyperextension casting (Group A) or Jewett bracing (Group B) between 2002 and 2012 were retrospectively reviewed. Pain levels were assessed using the Visual Analog Scale (VAS), functional status via the Oswestry Disability Index (ODI), kyphotic angle by the Cobb method, and patient satisfaction was also recorded. Results: A total of 35 patients were included (Brace group: n = 18; Cast group: n = 17). There were no statistically significant differences between groups in terms of age, sex, BMD index, or follow-up duration (p > 0.05). However, hospital stay was significantly longer in the cast group (2.1 ± 0.68 days vs. 1.1 ± 0.52 days; p < 0.001). The progression of kyphotic deformity was more limited in the cast group (p = 0.042). No major complications were observed. Earlier mobilization was achieved in the brace group. Conclusion: While the Jewett brace may offer an advantage in terms of early mobilization and functional recovery, hyperextension casting appears to be more effective in limiting kyphotic progression over time.
Keywords : : Torakolomber Kırık, Hiperekstansiyon Alçısı, Jewett Korsesi, Konservatif Tedavi, Kifotik Açı

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