CONSERVATIVE TREATMENT FOR THORACOLUMBAR SPINE BURST FRACTURES

ABSTRACT Objective: To identify the category of evidence and the strength of recommendation for the conservative treatment of thoracolumbar spine burst fractures. Method: A systematic review was conducted from April 2014 to June 2015, selecting articles according to their prospective design, related to thoracolumbar spine burst fractures and their treatment. These studies were published in the electronic bibliographic databases from January 2009 to January 2015. Results: A total of 9,504 articles were found in a free search, of which 7 met the selection criteria and were included for analysis in a study of a total of 435 patients, of whom 72 underwent surgical treatment and 363 received some type of conservative treatment, showing predominantly level of evidence "1b", with strength of recommendation type "A". Conclusions: According to the evidence obtained, the conservative treatment is a choice for patients with stable burst fracture in a single level of thoracolumbar spine and with no neurological injury.

摘要 研究目的：明确胸腰椎爆裂骨折保守治疗的证据类别与推荐强度。研究方法：于2014年4月至2015年6月开展系统回顾研究，筛选符合前瞻性研究设计、与胸腰椎爆裂骨折及其治疗相关的文献，检索时限为2009年1月至2015年1月的电子书目数据库。研究结果：初步检索共获取9504篇文献，其中7篇符合纳入标准并纳入分析，纳入研究共涉及435例患者，其中72例接受手术治疗，363例接受各类保守治疗；证据等级以1b级为主，推荐强度为A型。研究结论：基于现有研究证据，保守治疗可作为单节段胸腰椎稳定爆裂骨折且无神经损伤患者的治疗选择。