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Article

Spinal Orthoses Prescription for Vertebral Fragility Fractures by Italian Physical and Rehabilitation Medicine Physicians: The SPIN-VER Survey

by
Alessandro de Sire
1,*,
Antonio Ammendolia
1,
Alessandra Gimigliano
2,
Roberto Tiberi
3,
Carlo Cisari
4 and
Marco Invernizzi
4,5
1
Department of Medical and Surgical Sciences, University of Catanzaro “Magna Graecia”, 88100 Catanzaro, Italy
2
Medical Direction, ASST Fatebenefratelli-Sacco, 20157 Milan, Italy
3
MyEvent SRL, Events Organization, Monte Porzio Catone, 00078 Rome, Italy
4
Physical and Rehabilitative Medicine, Department of Health Sciences, University of Eastern Piedmont, 28100 Novara, Italy
5
Translational Medicine, Dipartimento Attività Integrate Ricerca e Innovazione (DAIRI), Azienda Ospedaliera SS, Antonio e Biagio e Cesare Arrigo, 15121 Alessandria, Italy
*
Author to whom correspondence should be addressed.
Healthcare 2021, 9(7), 892; https://doi.org/10.3390/healthcare9070892
Submission received: 9 July 2021 / Revised: 12 July 2021 / Accepted: 13 July 2021 / Published: 15 July 2021
(This article belongs to the Special Issue Vertebral Related Diseases in Healthcare: The Role of Pain Management and Rehabilitation)
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Abstract

Vertebral fragility fractures (VFFs) are the most common type of osteoporotic fractures, related to pain and disability. In this scenario, physical and rehabilitative medicine (PRM) physicians prescribe a patient-tailored rehabilitation plan, including spinal orthoses. However, there is a high heterogeneity in the clinical indications of spinal orthoses. Thus, the aim of this survey was to investigate common clinical practice in terms of the prescription of spinal orthoses. This nationwide cross-sectional survey recruited Italian PRM physicians commonly involved in the management of patients with VFFs. One hundred twenty-six PRM physicians completed the survey. The results showed that most PRM physicians prescribe spinal orthoses in outpatients suffering from VFFs (n = 106; 83.9%). The most prescribed spinal orthosis for acute VFF patients was the three-point rigid orthosis (n = 64; 50.8%), followed by the semirigid thoraco-lumbar orthosis (n: 20; 15.9%). However, most PRM physicians prescribed dynamic orthoses in outpatients with chronic VFFs (n = 66; 52.4%). Albeit that a correct management of VFFs is mandatory to improve pain and reduce disability, our findings highlighted uncertainty in the type of spinal orthosis prescription in both the acute and chronic VFF phase. Therefore, high-quality research trials are warranted to provide clear recommendations for the correct clinical management of VFF.
Keywords: vertebral fractures; spinal orthoses; osteoporosis; spine; disability; rehabilitation vertebral fractures; spinal orthoses; osteoporosis; spine; disability; rehabilitation

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MDPI and ACS Style

de Sire, A.; Ammendolia, A.; Gimigliano, A.; Tiberi, R.; Cisari, C.; Invernizzi, M. Spinal Orthoses Prescription for Vertebral Fragility Fractures by Italian Physical and Rehabilitation Medicine Physicians: The SPIN-VER Survey. Healthcare 2021, 9, 892. https://doi.org/10.3390/healthcare9070892

AMA Style

de Sire A, Ammendolia A, Gimigliano A, Tiberi R, Cisari C, Invernizzi M. Spinal Orthoses Prescription for Vertebral Fragility Fractures by Italian Physical and Rehabilitation Medicine Physicians: The SPIN-VER Survey. Healthcare. 2021; 9(7):892. https://doi.org/10.3390/healthcare9070892

Chicago/Turabian Style

de Sire, Alessandro, Antonio Ammendolia, Alessandra Gimigliano, Roberto Tiberi, Carlo Cisari, and Marco Invernizzi. 2021. "Spinal Orthoses Prescription for Vertebral Fragility Fractures by Italian Physical and Rehabilitation Medicine Physicians: The SPIN-VER Survey" Healthcare 9, no. 7: 892. https://doi.org/10.3390/healthcare9070892

APA Style

de Sire, A., Ammendolia, A., Gimigliano, A., Tiberi, R., Cisari, C., & Invernizzi, M. (2021). Spinal Orthoses Prescription for Vertebral Fragility Fractures by Italian Physical and Rehabilitation Medicine Physicians: The SPIN-VER Survey. Healthcare, 9(7), 892. https://doi.org/10.3390/healthcare9070892

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