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

Journal of Clinical Medicine

Makoto Tomita¹  Suketaka Momoshima²  Ukihide Tateishi³  Koji Otani⁴  Yutaka Sasao⁵  Daisuke Togawa⁶  Masahiko Takahata⁷  Takashi Tsuji⁸  Ryuichi Takemasa⁹  Kimiaki Sato^1,10  Yasuaki Tokuhashi^1,11  Hirotaka Haro^1,12  Tetsuro Ohba^1,12  Takashi Hirai^1,13  Atsushi Okawa^1,13  Hiroyuki Inose^1,13  Masato Yuasa^1,13  Toshitaka Yoshii^1,13  Tsuyoshi Kato^1,13  Shoichi Ichimura^1,14  Masatoshi Hoshino^1,15  Hiroaki Nakamura^1,15  Toru Hirano^1,16 

[1] Clinical Research Center, Tokyo Medical and Dental University, Tokyo 113-8510, Japan;Department of Diagnostic Radiology, Center for Preventive Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan;Department of Diagnostic Radiology, Medical Hospital, Tokyo Medical and Dental University, Tokyo 113-8510, Japan;Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan;Department of Orthopaedic Surgery, Graduate School, School of Medicine, St. Marianna University, Kanagawa 216-8511, Japan;Department of Orthopaedic Surgery, Hamamatsu University of Medicine, Shizuoka 431-3192, Japan;Department of Orthopaedic Surgery, Hokkaido University Graduate School of Medicine, Hokkaido 060-8638, Japan;Department of Orthopaedic Surgery, Kitasato University Kitasato Institute Hospital, Tokyo 108-8642, Japan;Department of Orthopaedic Surgery, Kochi Medical School, Kochi 783-8505, Japan;Department of Orthopaedic Surgery, Kurume University School of Medicine, Kurume University, Fukuoka 830-0011, Japan;Department of Orthopaedic Surgery, Nihon University, Tokyo 173-8610, Japan;Department of Orthopaedic Surgery, University of Yamanashi, Yamanashi 409-3898, Japan;Department of Orthopaedics, Graduate School, Tokyo Medical and Dental University, Tokyo 108-0075, Japan;Department of Orthopaedics, Kyorin University, Tokyo 181-8611, Japan;Department of Orthopedic Surgery, Graduate School of Medicine, Osaka City University, Osaka 545-8585, Japan;Department of Orthopedic Surgery, Niigata University Medical and Dental General Hospital, Niigata 951-8520, Japan;

关键词: osteoporosis;    osteoporotic vertebral compression fracture;    brace;    quality of life;    spinal deformity;   

DOI  :  10.3390/jcm8020198

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown