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Bed rest for 6 weeks, followed by a thoracolumbosacral orthosis (TLSO) until the fracture is healed
4%
45/1280
TLSO and or body cast for 3 to 6 months with mobilization when comfortable
58%
741/1280
Posterior spinal fusion and instrumentation
20%
255/1280
Anterior decompression with spinal fusion and instrumentation
9%
110/1280
Anterior decompression and anterior-posterior spinal fusion and instrumentation
120/1280
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Wood and associates have shown that the use of a TLSO or a body jacket was equally effective as surgery for the treatment of thoracolumbar burst fractures without neurologic deficit. The only difference in any of the measured parameters (including pain, functional outcome, residual canal compromise, and kyphosis) was a decreased complication rate in the nonsurgical group compared with the surgical group. The maximum time to mobilization in the nonsurgical group was 5 days.
2.3
(40)
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