Functional Outcomes Between Surgical and Nonsurgical Treatment for Neurologically Intact Patients With Thoracolumbar Burst Fractures as Measured by the AO Spine PROST

Said Sadiqi; C Dandurand; Sander P.J. Muijs; Richard J. Bransford; Andrei F. Joaquim; Lorin M. Benneker; J W Tee; Ulrich Spiegel; Alexander R. Vaccaro; F. Cumhur Oner; on behalf of the AO Spine Knowledge Forum Trauma & Infection

doi:10.1097/brs.0000000000005688

April 9, 2026Spine

Functional Outcomes Between Surgical and Nonsurgical Treatment for Neurologically Intact Patients With Thoracolumbar Burst Fractures as Measured by the AO Spine PROST

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Key Points

To compare long-term functional outcomes between surgical and nonsurgical treatments for thoracolumbar burst fractures in neurologically intact patients.
Measured functional outcomes using AO Spine PROST.
Compared outcomes between surgical and nonsurgical treatment groups.
Followed participants over a period of two years.
Both treatment groups had similar long-term functional outcomes as measured by AO Spine PROST.
Surgically treated patients had higher scores at 3 months post-treatment, but differences were not statistically significant.
Outcome scores equalized by the two-year mark.

Implication

Descriptive study compares long-term functional outcomes of surgical and nonsurgical treatments in neurologically intact patients, suggesting similar effectiveness.

Abstract

Both surgical and nonsurgical treatment of neurologically intact TL burst fracture patients resulted in comparable long-term functional outcomes as measured by AO Spine PROST. A descriptive trend was observed with surgically treated patients showing higher mean PROST scores up to 3 months post-treatment, however, between-group differences were not statistically significant and equalized by two years.

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Cite This Study

Sadiqi et al. (2026) studied this question.

synapsesocial.com/papers/69d9e63478050d08c1b76898 https://doi.org/10.1097/brs.0000000000005688

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Functional Outcomes Between Surgical and Nonsurgical Treatment for Neurologically Intact Patients With Thoracolumbar Burst Fractures as Measured by the AO Spine PROST

Key Points

Implication

Abstract

Discussion

Cite This Study

Functional Outcomes Between Surgical and Nonsurgical Treatment for Neurologically Intact Patients With Thoracolumbar Burst Fractures as Measured by the AO Spine PROST

Key Points

Implication

Abstract

Discussion

Cite This Study

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