Experience with Cross-Band Separated Type Orthosis for Vertebral Compression Fracture

  • Tanaka Hisato
    Department of Orthopaedic Surgery, Tanaka Hospital, Saga, Japan
  • Kasahara Takaki
    Department of Orthopaedic Surgery, Tanaka Hospital, Saga, Japan
  • Kodama Kanako
    Department of Orthopaedic Surgery, Tanaka Hospital, Saga, Japan

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  • 脊椎圧迫骨折に対する分割式クロスバンドコルセットの使用経験

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Abstract

We report the results of using the cross-band separated type orthosis to treat 36 patients with vertebral fractures for a period of 18 months between January 2010 and June 2011 at our hospital. The patients consisted of nine males and 27 females. Their mean age was 81.6 years, and the mean observation period was 5.8 months. The cross-band separated type orthosis can be divided into the cross band part for supporting the superior limb girdle and the soft lumbosacral section for supporting the side pillar and posterior strut. The rear strut of the cross band section is passed through the rear side of the para-midline lumbosacral orthosis, allowing it to be used as a traditional lumbosacral corset while maintaining the original functions.<BR>The average percentage of wedge deformity was 76.8% in the first visit, decreasing to 65.4% in the last observation. The average decrease in wedge deformity was 14.8%. The kyphotic angle worsened by 4.36 degrees on average. Pain improved in 77%, and cleft formation was seen only in one case. Because of the extensive use of mesh, the orthosis is compatible for many patients, even providing strong support for patients with severe spinal curvature.

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