Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture

Background: Burst fracture result from compression failure of both the anterior and middle column under substantial axial loads. Conservative treatment was a method of treatment for fractures without neurological deficit. Objectives: This cross sectional study was designed to evaluate the functio...

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Main Authors: Zakaria@Mohamad, Zamzuri, Sharifudin, Mohd Ariff, Ahmad Damen, Mohd Fairuz
Format: Conference or Workshop Item
Language:English
Published: 2017
Subjects:
Online Access:http://irep.iium.edu.my/57981/
http://irep.iium.edu.my/57981/1/MSS%20-%20early%20functional%202017.pdf
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recordtype eprints
spelling iium-579812017-08-17T01:38:53Z http://irep.iium.edu.my/57981/ Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture Zakaria@Mohamad, Zamzuri Sharifudin, Mohd Ariff Ahmad Damen, Mohd Fairuz R Medicine (General) Background: Burst fracture result from compression failure of both the anterior and middle column under substantial axial loads. Conservative treatment was a method of treatment for fractures without neurological deficit. Objectives: This cross sectional study was designed to evaluate the functional and radiological outcome of patient with thoracolumbar burst fracture treated conservatively. Methods: 40 cases were recruited from January 2013 till December 2015. They were followed-up with minimum period of 1 year and evaluated for the functional (Oswetry disbility index) and radiological outcomes (kyphotic angle deformity and anterior body compression). Results: 20 patients were treated with body cast made from plaster of Paris and remaining 20 patients with fiberglass cast. In plaster of Paris group, mean kyphotic angle deformity at last follow up was 16.60 ± 2.95 with a mean improvement 4.45 degree and anterior body compression at last follow up was 30.35% ± 10.2 with mean improvement of 9.30%. In fiberglass group, mean kyphotic angle deformity at last follow up was 15.55 ± 3.38 with a mean improvement of 3.45%. The functional outcome showed Oswetry Disability Index (ODI) score in plaster of Paris was 23.70 (SD = 7.82) and fiberglass group was 18.50 (SD = 5.94). Conclusions: Application of body cast using a fiberglass material give better radiological outcome hence less pain, more functional and higher patient's satisfaction as compared to plaster of Paris. 2017-08-04 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/57981/1/MSS%20-%20early%20functional%202017.pdf Zakaria@Mohamad, Zamzuri and Sharifudin, Mohd Ariff and Ahmad Damen, Mohd Fairuz (2017) Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture. In: 5th International MSS Scientific Congress, 4-6 Aug 2017, Novotel Melaka, Malaysia.
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic R Medicine (General)
spellingShingle R Medicine (General)
Zakaria@Mohamad, Zamzuri
Sharifudin, Mohd Ariff
Ahmad Damen, Mohd Fairuz
Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
description Background: Burst fracture result from compression failure of both the anterior and middle column under substantial axial loads. Conservative treatment was a method of treatment for fractures without neurological deficit. Objectives: This cross sectional study was designed to evaluate the functional and radiological outcome of patient with thoracolumbar burst fracture treated conservatively. Methods: 40 cases were recruited from January 2013 till December 2015. They were followed-up with minimum period of 1 year and evaluated for the functional (Oswetry disbility index) and radiological outcomes (kyphotic angle deformity and anterior body compression). Results: 20 patients were treated with body cast made from plaster of Paris and remaining 20 patients with fiberglass cast. In plaster of Paris group, mean kyphotic angle deformity at last follow up was 16.60 ± 2.95 with a mean improvement 4.45 degree and anterior body compression at last follow up was 30.35% ± 10.2 with mean improvement of 9.30%. In fiberglass group, mean kyphotic angle deformity at last follow up was 15.55 ± 3.38 with a mean improvement of 3.45%. The functional outcome showed Oswetry Disability Index (ODI) score in plaster of Paris was 23.70 (SD = 7.82) and fiberglass group was 18.50 (SD = 5.94). Conclusions: Application of body cast using a fiberglass material give better radiological outcome hence less pain, more functional and higher patient's satisfaction as compared to plaster of Paris.
format Conference or Workshop Item
author Zakaria@Mohamad, Zamzuri
Sharifudin, Mohd Ariff
Ahmad Damen, Mohd Fairuz
author_facet Zakaria@Mohamad, Zamzuri
Sharifudin, Mohd Ariff
Ahmad Damen, Mohd Fairuz
author_sort Zakaria@Mohamad, Zamzuri
title Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
title_short Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
title_full Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
title_fullStr Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
title_full_unstemmed Early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
title_sort early functional and radiological outcome between plaster cast and fibreglass cast in stable thoracolumbar burst fracture
publishDate 2017
url http://irep.iium.edu.my/57981/
http://irep.iium.edu.my/57981/1/MSS%20-%20early%20functional%202017.pdf
first_indexed 2023-09-18T21:21:58Z
last_indexed 2023-09-18T21:21:58Z
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