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Related Concept Videos

Flail Chest-II01:26

Flail Chest-II

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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
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Flail Chest-I01:24

Flail Chest-I

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Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
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Fractures: Bone Repair01:27

Fractures: Bone Repair

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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The Thoracic Cage: Sternum01:17

The Thoracic Cage: Sternum

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The thoracic or rib cage forms the body's thorax (chest) portion. Its primary function in the body is to protect vital organs in the thoracic cavity, such as the heart and the lungs. It consists of 12 pairs of ribs with their costal cartilages and the sternum. The ribs are anchored posteriorly to the 12 thoracic vertebrae (T1-T12).
The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid...
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The Thoracic Cage: Ribs01:20

The Thoracic Cage: Ribs

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Ribs are curved, flattened bones forming the thoracic cavity wall with the thoracic muscles. There are 12 pairs of thoracic ribs. The posterior ends of all the ribs articulate with the T1–T12 thoracic vertebrae. In contrast,the anterior ends of most ribs attach to the sternum via their costal cartilages.
Parts of a Typical Rib
A typical rib has a head, neck, and body. The posterior end of the rib is called the head, followed by a narrow neck. The head articulates primarily with the costal...
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Herniated Intervertebral Disc l: Introduction01:29

Herniated Intervertebral Disc l: Introduction

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Intervertebral disc herniation refers to the displacement of the nucleus pulposus (the gel-like inner core of the disc) through a tear or weakened area in the annulus fibrosus (the outer fibrous ring). The displaced disc material extends beyond the normal boundaries of the disc space and may compress or irritate nearby spinal nerve roots or, less commonly, the spinal cord.Etiology and Risk FactorsHerniation commonly results from degeneration, in which aging reduces disc hydration and...
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Related Experiment Video

Updated: Apr 27, 2026

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
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Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

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Bracing for thoracolumbar fractures.

Victor Chang1, Langston T Holly

  • 1Departments of Neurosurgery and.

Neurosurgical Focus
|July 2, 2014
PubMed
Summary

Bracing effectively treats many traumatic thoracolumbar spine fractures nonoperatively. While evidence for osteoporotic fractures is less clear, bracing remains a low-risk option for thoracolumbar spine injuries.

Keywords:
MCS = mental component scoreODI = Oswestry Disability IndexOVF = osteoporotic vertebral fracturePCS = physical component scoreRMDQ = Roland-Morris Disability QuestionnaireSF-36 = 36-Item Short Form Health SurveyTLSO = thoracolumbosacral orthoticVAS = visual analog scalebraceburstcompressionlumbarosteoporotic vertebral fracture

More Related Videos

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Area of Science:

  • Orthopedics
  • Spine Surgery
  • Geriatric Medicine

Background:

  • Traumatic thoracolumbar spine fractures are common, causing pain and disability.
  • Osteoporotic vertebral fractures are frequent in the elderly, posing a significant health concern.
  • Nonoperative bracing is a common treatment for neurologically intact traumatic fractures.

Purpose of the Study:

  • To review the efficacy of bracing for traumatic and osteoporotic thoracolumbar spine fractures.
  • To compare nonoperative bracing with surgical interventions for these fracture types.
  • To identify gaps in evidence regarding optimal treatment strategies.

Main Methods:

  • Literature review of studies comparing operative and nonoperative management of thoracolumbar fractures.
  • Analysis of evidence for bracing in traumatic versus osteoporotic vertebral fractures.
  • Assessment of treatment outcomes, risks, and cost-effectiveness.

Main Results:

  • Bracing is effective for many traumatic thoracolumbar fractures, with outcomes comparable to surgery in some cases.
  • Operative versus nonoperative treatment for burst fractures remains controversial with evidence supporting both.
  • Evidence for bracing efficacy in osteoporotic vertebral fractures is less robust, requiring further research.

Conclusions:

  • Bracing is a low-risk, cost-effective treatment for specific thoracolumbar fractures, often achieving results similar to surgery.
  • Further high-quality evidence is needed to define the optimal role of bracing for osteoporotic vertebral fractures.
  • Treatment decisions for thoracolumbar fractures should consider fracture type, stability, and neurological status.