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Related Experiment Video

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Evaluation of Patients' Posture and Gait Profile After Lumbar Fusion Surgery by Video Rasterstereography and Treadmill Gait Analysis

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Postoperative Spinal Orthoses: Types and Outcomes.

Zachary Donato¹, Derek Gonzalez, Moses Markowitz

¹From the Department of Education, The University of Miami Leonard M. Miller School of Medicine, (Donato, and Markowitz), and the Department of Orthopaedic Surgery, University of Miami Hospital, Miami, FL (Gonzalez, and Gjolaj).

The Journal of the American Academy of Orthopaedic Surgeons

|October 9, 2023

Summary

Postoperative bracing (POB) after spinal surgery lacks consistent evidence for its efficacy. This study reviewed current data on cervical, thoracic, and lumbosacral spine bracing, finding limited support for its widespread use.

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Area of Science:

Orthopedic Surgery
Spinal Biomechanics
Rehabilitation Medicine

Background:

Postoperative bracing (POB) is a long-standing practice following spinal surgery.
Recent studies question the established indications and efficacy of spinal orthoses due to inconsistent evidence.
The use of POB remains prevalent despite ongoing debates.

Purpose of the Study:

To evaluate the existing scientific evidence regarding the use of postoperative bracing for the cervical, thoracic, and lumbosacral spine.
To identify current trends and limitations in the literature concerning spinal orthoses efficacy.
To assess the clinical utility of POB across different spinal regions.

Main Methods:

Systematic review of current literature on postoperative spinal bracing.
Analysis of studies investigating the indications, types, and outcomes of POB.
Evaluation of evidence for cervical, thoracic, and lumbosacral spinal orthoses.

Main Results:

The current literature provides no consistent evidence to support or refute the use of spinal orthoses after surgery.
Few studies have adequately assessed the efficacy of different brace types or specific indications.
Limited data exists on the optimal type, duration, or specific indications for many spinal orthoses.

Conclusions:

There is a lack of clear guidelines for the type, duration, and indications of spinal orthoses.
Despite evidence gaps, POB continues to be widely employed in various surgical procedures.
Further research is needed to establish the efficacy and optimal use of POB in spinal surgery.