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Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study

While bracing is the standard conservative treatment for acute osteoporotic compression fracture, the efficacy of different brace treatments has not been extensively studied. We aimed to clarify and compare the preventive effect of the different brace treatments on the deformity of the vertebral bod...

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Autores principales: Kato, Tsuyoshi, Inose, Hiroyuki, Ichimura, Shoichi, Tokuhashi, Yasuaki, Nakamura, Hiroaki, Hoshino, Masatoshi, Togawa, Daisuke, Hirano, Toru, Haro, Hirotaka, Ohba, Tetsuro, Tsuji, Takashi, Sato, Kimiaki, Sasao, Yutaka, Takahata, Masahiko, Otani, Koji, Momoshima, Suketaka, Tateishi, Ukihide, Tomita, Makoto, Takemasa, Ryuichi, Yuasa, Masato, Hirai, Takashi, Yoshii, Toshitaka, Okawa, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406237/
https://www.ncbi.nlm.nih.gov/pubmed/30736328
http://dx.doi.org/10.3390/jcm8020198
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author Kato, Tsuyoshi
Inose, Hiroyuki
Ichimura, Shoichi
Tokuhashi, Yasuaki
Nakamura, Hiroaki
Hoshino, Masatoshi
Togawa, Daisuke
Hirano, Toru
Haro, Hirotaka
Ohba, Tetsuro
Tsuji, Takashi
Sato, Kimiaki
Sasao, Yutaka
Takahata, Masahiko
Otani, Koji
Momoshima, Suketaka
Tateishi, Ukihide
Tomita, Makoto
Takemasa, Ryuichi
Yuasa, Masato
Hirai, Takashi
Yoshii, Toshitaka
Okawa, Atsushi
author_facet Kato, Tsuyoshi
Inose, Hiroyuki
Ichimura, Shoichi
Tokuhashi, Yasuaki
Nakamura, Hiroaki
Hoshino, Masatoshi
Togawa, Daisuke
Hirano, Toru
Haro, Hirotaka
Ohba, Tetsuro
Tsuji, Takashi
Sato, Kimiaki
Sasao, Yutaka
Takahata, Masahiko
Otani, Koji
Momoshima, Suketaka
Tateishi, Ukihide
Tomita, Makoto
Takemasa, Ryuichi
Yuasa, Masato
Hirai, Takashi
Yoshii, Toshitaka
Okawa, Atsushi
author_sort Kato, Tsuyoshi
collection PubMed
description While bracing is the standard conservative treatment for acute osteoporotic compression fracture, the efficacy of different brace treatments has not been extensively studied. We aimed to clarify and compare the preventive effect of the different brace treatments on the deformity of the vertebral body and other clinical results in this patient cohort. This multicenter nationwide prospective randomized study included female patients aged 65–85 years with acute one-level osteoporotic compression fractures. We assigned patients within four weeks of injury to either a rigid-brace treatment or a soft-brace treatment. The main outcome measure was the anterior vertebral body compression percentage at 48 weeks. Secondary outcome measures included scores on the European Quality of Life-5 Dimensions (EQ-5D), visual analog scale (VAS) for lower back pain, and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ). A total of 141 patients were assigned to the rigid-brace group, whereas 143 patients were assigned to the soft-brace group. There were no statistically significant differences in the primary outcome and secondary outcome measures between groups. In conclusion, among patients with fresh vertebral compression fractures, the 12-week rigid-brace treatment did not result in a statistically greater prevention of spinal deformity, better quality of life, or lesser back pain than soft-brace.
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spelling pubmed-64062372019-03-22 Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study Kato, Tsuyoshi Inose, Hiroyuki Ichimura, Shoichi Tokuhashi, Yasuaki Nakamura, Hiroaki Hoshino, Masatoshi Togawa, Daisuke Hirano, Toru Haro, Hirotaka Ohba, Tetsuro Tsuji, Takashi Sato, Kimiaki Sasao, Yutaka Takahata, Masahiko Otani, Koji Momoshima, Suketaka Tateishi, Ukihide Tomita, Makoto Takemasa, Ryuichi Yuasa, Masato Hirai, Takashi Yoshii, Toshitaka Okawa, Atsushi J Clin Med Article While bracing is the standard conservative treatment for acute osteoporotic compression fracture, the efficacy of different brace treatments has not been extensively studied. We aimed to clarify and compare the preventive effect of the different brace treatments on the deformity of the vertebral body and other clinical results in this patient cohort. This multicenter nationwide prospective randomized study included female patients aged 65–85 years with acute one-level osteoporotic compression fractures. We assigned patients within four weeks of injury to either a rigid-brace treatment or a soft-brace treatment. The main outcome measure was the anterior vertebral body compression percentage at 48 weeks. Secondary outcome measures included scores on the European Quality of Life-5 Dimensions (EQ-5D), visual analog scale (VAS) for lower back pain, and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ). A total of 141 patients were assigned to the rigid-brace group, whereas 143 patients were assigned to the soft-brace group. There were no statistically significant differences in the primary outcome and secondary outcome measures between groups. In conclusion, among patients with fresh vertebral compression fractures, the 12-week rigid-brace treatment did not result in a statistically greater prevention of spinal deformity, better quality of life, or lesser back pain than soft-brace. MDPI 2019-02-06 /pmc/articles/PMC6406237/ /pubmed/30736328 http://dx.doi.org/10.3390/jcm8020198 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kato, Tsuyoshi
Inose, Hiroyuki
Ichimura, Shoichi
Tokuhashi, Yasuaki
Nakamura, Hiroaki
Hoshino, Masatoshi
Togawa, Daisuke
Hirano, Toru
Haro, Hirotaka
Ohba, Tetsuro
Tsuji, Takashi
Sato, Kimiaki
Sasao, Yutaka
Takahata, Masahiko
Otani, Koji
Momoshima, Suketaka
Tateishi, Ukihide
Tomita, Makoto
Takemasa, Ryuichi
Yuasa, Masato
Hirai, Takashi
Yoshii, Toshitaka
Okawa, Atsushi
Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study
title Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study
title_full Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study
title_fullStr Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study
title_full_unstemmed Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study
title_short Comparison of Rigid and Soft-Brace Treatments for Acute Osteoporotic Vertebral Compression Fracture: A Prospective, Randomized, Multicenter Study
title_sort comparison of rigid and soft-brace treatments for acute osteoporotic vertebral compression fracture: a prospective, randomized, multicenter study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406237/
https://www.ncbi.nlm.nih.gov/pubmed/30736328
http://dx.doi.org/10.3390/jcm8020198
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