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Master Thesis

Traitement des fractures thoraciques et lombaires par corset thermoformé‎ : à propos d'une série continue de 110 cas‎

Abstract : Spinal fractures are frequent and often located at the thoracolumbar junction. The treatment of stable spinal fractures without neurologic damage remains controversial. We made a retrospective radiographic and clinical review of 110 mostly stable spinal fractures without neurologic deficit, treated by thermoplastic braces. Even if the brace was well tolerated, it could not significantly reduce the initial fracture and could not prevent a low but significant deformity progression at 4,5 month follow up with a loss of vertebral kyphosis of -1,8° and a loss of regional kyphosis of -2,5°. Young age, thoracolombar location of the fracture and, unexpected, smoking predicted à better radiologic outcome. Low energy trauma gave a worse radio-clinical outcome. The average Oswestry disability index score was good at 2 years (7.04%). It was correlated with the duration of work stoppage. Males, physical activity and high energy trauma predicted a better score. Duration of work stoppage was higher if no physical activities were practiced and if the accident occurred at work. Only 2.7% of the patients did not go back to work and of the physically active patients who praticed a sport before the accident, only 8.5% did not return to the sport due to spinal reasons. Thermoplastic brace treatment has some limits. The indication for such a treatment depends on the patient (age, sex and morphology) as well as his/her fracture (location, Magerl classification and mechanism).
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Master Thesis
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Submitted on : Monday, September 26, 2011 - 4:56:04 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:16 AM
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  • HAL Id : dumas-00626674, version 1
  • PPN : 155146556


Sara van Der Hulst. Traitement des fractures thoraciques et lombaires par corset thermoformé‎ : à propos d'une série continue de 110 cas‎. Médecine humaine et pathologie. 2010. ⟨dumas-00626674⟩



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