The Journal of bone and joint surgery. American volume
The most recent articles from:
J Bone Joint Surg Am
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J Bone Joint Surg Am · May 2003
Randomized Controlled Trial Comparative Study Clinical TrialOperative compared with nonoperative treatment of a thoracolumbar burst fracture without neurological deficit. A prospective, randomized study.
To our knowledge, a prospective, randomized study comparing operative and nonoperative treatment of a thoracolumbar burst fracture in patients without a neurological deficit has never been performed. Our hypothesis was that operative treatment would lead to superior long-term clinical outcomes. ⋯ We found that operative treatment of patients with a stable thoracolumbar burst fracture and normal findings on the neurological examination provided no major long-term advantage compared with nonoperative treatment.