Matches in SemOpenAlex for { <https://semopenalex.org/work/W4323042461> ?p ?o ?g. }
Showing items 1 to 58 of
58
with 100 items per page.
- W4323042461 endingPage "11" @default.
- W4323042461 startingPage "11" @default.
- W4323042461 abstract "Introduction Mode of non-operative management of thoracolumbar spine fracture continues to remain controversial with the most common modality hinging on bracing. TLSO is the device with a relative extension locked position, and many authors suggest they may have a role in the healing process, diminishing the load transferred via the anterior column, limiting segmental motion, and helping in pain control. However, several studies have shown prolonged use of brace may lead to skin breakdown, diminished pulmonary capacity, weakness of paraspinal musculature with no difference in pain and functional outcomes between patients treated with or without brace. Aims To identify number of spinal braces used for spinal injury and cost implications (in a DGH), to identify the impact on length of stay, to ascertain patient compliance and quality of patient information provided for brace usage, reflect whether we need to change our practice on TLSO brace use. Methods Data collected over 18-month period (from Jan.2020 to July 2021). Patients were identified from the TLSO brace issue list of the orthotic department, imaging (X-rays, CT, MRI scans) reviewed to confirm fracture and records reviewed to confirm neurology and non-operative management. Patient feedback was obtained via post or telephone consultation. Inclusion criteria- patients with single or multi -level thoracolumbar osteoporotic or traumatic fractures with no neurological involvement treated in a TLSO brace. Exclusion criteria- neurological involvement, cervical spine injuries, decision to treat surgically, concomitant bony injuries. Results 72 braces were issued in the time frame with 42 patients remaining in the study based on the inclusion/exclusion criteria. Patient feedback reflected that 62% patients did not receive adequate advice for brace usage, 73% came off the brace earlier than advised, and 60% would prefer to be treated without a brace if given a choice. The average increase in length of stay was 3 days awaiting brace fitting and delivery. The average total cost burden on the NHS was £127,500 (lower estimate) due to brace usage. Conclusion If there is equivalence between treatment with/without a brace, there is a need to rethink the practice of prescribing brace for all non-operatively treated fractures and a case-by-case approach may prove more beneficial." @default.
- W4323042461 created "2023-03-04" @default.
- W4323042461 creator A5032536584 @default.
- W4323042461 creator A5035146633 @default.
- W4323042461 creator A5035453227 @default.
- W4323042461 creator A5050639506 @default.
- W4323042461 creator A5062274784 @default.
- W4323042461 creator A5081180193 @default.
- W4323042461 date "2023-03-01" @default.
- W4323042461 modified "2023-10-05" @default.
- W4323042461 title "THORACOLUMBAR SACRAL ORTHOSIS (TLSO) BRACE FOR SPINE FRACTURES: WHAT'S THE EVIDENCE AND DO PATIENTS USE THEM?" @default.
- W4323042461 doi "https://doi.org/10.1302/1358-992x.2023.4.011" @default.
- W4323042461 hasPublicationYear "2023" @default.
- W4323042461 type Work @default.
- W4323042461 citedByCount "0" @default.
- W4323042461 crossrefType "journal-article" @default.
- W4323042461 hasAuthorship W4323042461A5032536584 @default.
- W4323042461 hasAuthorship W4323042461A5035146633 @default.
- W4323042461 hasAuthorship W4323042461A5035453227 @default.
- W4323042461 hasAuthorship W4323042461A5050639506 @default.
- W4323042461 hasAuthorship W4323042461A5062274784 @default.
- W4323042461 hasAuthorship W4323042461A5081180193 @default.
- W4323042461 hasConcept C127413603 @default.
- W4323042461 hasConcept C141071460 @default.
- W4323042461 hasConcept C1862650 @default.
- W4323042461 hasConcept C2778818304 @default.
- W4323042461 hasConcept C2779793219 @default.
- W4323042461 hasConcept C68312169 @default.
- W4323042461 hasConcept C71924100 @default.
- W4323042461 hasConcept C78519656 @default.
- W4323042461 hasConceptScore W4323042461C127413603 @default.
- W4323042461 hasConceptScore W4323042461C141071460 @default.
- W4323042461 hasConceptScore W4323042461C1862650 @default.
- W4323042461 hasConceptScore W4323042461C2778818304 @default.
- W4323042461 hasConceptScore W4323042461C2779793219 @default.
- W4323042461 hasConceptScore W4323042461C68312169 @default.
- W4323042461 hasConceptScore W4323042461C71924100 @default.
- W4323042461 hasConceptScore W4323042461C78519656 @default.
- W4323042461 hasIssue "SUPP_4" @default.
- W4323042461 hasLocation W43230424611 @default.
- W4323042461 hasOpenAccess W4323042461 @default.
- W4323042461 hasPrimaryLocation W43230424611 @default.
- W4323042461 hasRelatedWork W2002120878 @default.
- W4323042461 hasRelatedWork W2012792627 @default.
- W4323042461 hasRelatedWork W2047967234 @default.
- W4323042461 hasRelatedWork W2059600327 @default.
- W4323042461 hasRelatedWork W2093450214 @default.
- W4323042461 hasRelatedWork W2139006891 @default.
- W4323042461 hasRelatedWork W214433981 @default.
- W4323042461 hasRelatedWork W2408200575 @default.
- W4323042461 hasRelatedWork W2439875401 @default.
- W4323042461 hasRelatedWork W3080666536 @default.
- W4323042461 hasVolume "105-B" @default.
- W4323042461 isParatext "false" @default.
- W4323042461 isRetracted "false" @default.
- W4323042461 workType "article" @default.