Spinal orthoses.
External orthoses are used in the management of a variety of spinal disorders. Many types of brace are available to support the cervical, thoracic, and lumbar spine as well as junctional regions, which have special mechanical considerations. Many prefabricated and custom-made devices are available, made by a variety of manufacturers in this unregulated area of medical practice. Despite the widespread use of spinal orthoses, evidence of their efficacy in managing many spinal conditions is lacking. The most compelling indication for their use is in the management of traumatic spine injury. However, studies evaluating the efficacy of spinal orthoses have several shortcomings; many have evaluated orthoses that are no longer used. Recent data provide general guidelines to help the clinician choose the appropriate device.
Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, OH, USA.
Steven S
SS
Agabegi
Ferhan A
FA
Asghar
Harry N
HN
Herkowitz
D001416:Back Pain / Q000517:prevention & control; D001696:Biomechanical Phenomena; D001915:Braces; D004867:Equipment Design; D050815:Fractures, Compression / Q000628:therapy; D006801:Humans; D007103:Immobilization / Q000295:instrumentation; D019547:Neck Pain / Q000517:prevention & control; D009989:Orthotic Devices / Q000009:adverse effects; D016059:Range of Motion, Articular; D013122:Spinal Diseases / Q000628:therapy*; D013124:Spinal Injuries / Q000503:physiopathology / Q000628:therapy; D013131:Spine