Which type of orthosis is suitable for compression fractures near the thoracolumbar junction?

The Jewett or CASH brace is designed specifically to provide anterior-posterior compression support to the thoracic and lumbar spine, making it highly effective for managing compression fractures near the thoracolumbar junction. This type of brace functions by stabilizing the spine and promoting proper alignment, while also allowing for some degree of mobility as needed. The design encourages an extended position of the thoracic and lumbar regions, which helps to reduce pain and support healing by minimizing movement that could exacerbate the injury.

In contrast, the Boston brace is primarily used for scoliosis management rather than addressing compression fractures. Cervical collars, on the other hand, are intended for stabilizing the neck and providing support post-injury or surgical intervention in the cervical spine; they do not address thoracolumbar fractures effectively. A short leg cast is suitable for lower leg injuries and does not target compression fractures in the thoracic or lumbar region at all. Therefore, the Jewett or CASH brace is uniquely suited for the specific needs of patients with compression fractures near the thoracolumbar junction.