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Clinical results favor nonoperative over operative treatment 20 years after burst fracture
April 2015
Clinical results favor nonoperative over operative treatment 20 years after burst fracture
Study Type:Randomized Trial
OE Level Evidence:2
Journal Level of Evidence:1
Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit: A Prospective Randomized Study with Follow-up at Sixteen to Twenty-Two Years
J Bone Joint Surg Am. 2015 Jan 7;97(1):3-9Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
47 patients (18-68 years old) with thoracolumbar burst fracture without neurological damage were randomized to either operative or nonoperative treatment. Patients were followed-up clinically and radiologically from 17 to 22 years. At final follow-up, the nonoperative group demonstrated significantly better pain and functional outcomes when compared to the operative group. Radiographic results did...
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