Matussek, J. and Boluki, D. and Fuessel, S. and Grifka, J. (2010) Orthotic methods for osteoporosis and osteoporotic vertebral fracture. ORTHOPADE, 39 (4). 387-+. ISSN 0085-4530,
Full text not available from this repository. (Request a copy)Abstract
Even in times of kyphoplasty and vertebroplasty, braces remain an efficient option in the treatment of osteoporotic hyperkyphosis due to imminent or manifest vertebral wedging with the obligatory pain and fracture risk of adjacent vertebraes. In the same fashion, acute osteoporotic fractures with considerable backpain can be treated with an adaecuate orthosis besides analgetics and osteological drugs. Essential is the careful of the right brace for a given type of osteoporotic fracture: Overall brace-frames (Stagnara type) should be used only in highly unstable or multiple osteoporotic fractures with impact onto the spinal canal where surgery is not possible. These brace frames should be administered only for the shortest possible period (8-12 weeks) to reduce muscle atrophy and immobilization. However, in the typical stable osteoporotic wedge fracture, light weight constructions like the Jewett or Bhler-Vogt brace or - in less severe cases - dynamic braces (e.g. TorsoStretch brace or SpinoMedActive brace) should be used to minimize muscle atrophy and demineralisation. Brace treatment at its best though, can be only one step in the cascade of measures to fight demineralisation and the clinical consequences: General physiotherapy, analgetics and specific osteological drugs and minerals add essentially to the treatment.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ; Osteoporosis; Spinal brace; Osteoporotic fractures; Pain treatment |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Orthopädie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 03 Aug 2020 09:49 |
| Last Modified: | 03 Aug 2020 09:49 |
| URI: | https://pred.uni-regensburg.de/id/eprint/24945 |
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