{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T05:04:11Z","timestamp":1768194251922,"version":"3.49.0"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Osteoporosis is a systemic skeletal disease of multi-aetiological origin and is a major factor in health economics. The reduction in bone mass and disruption of the microarchitecture lead to an increased risk of fracture. The therapy is versatile, with orthoses being used in the treatment of acute vertebral fractures as well as chronic pain.<\/jats:p><jats:p>The aim of this work is to formulate evidence-based recommendations for the use of orthoses in osteoporotic vertebral fractures and chronic symptoms.<\/jats:p><jats:p>The literature search was conducted according to the PRISMA protocol at PubMed, ScienceDirect, Cochrane and Google Scholar. The risk of bias of the studies was assessed using RoB2 for randomised studies and ROBINS-I for non-randomised studies. The level of evidence was determined according to AHCPR.<\/jats:p><jats:p>A total of 18 studies were identified, with 11 studies focussing on the treatment of chronic back pain in osteoporosis and 7 studies on pain therapy for acute osteoporotic vertebral fractures. The non-RCTs matched 5\u00d7 to evidence levels IIa. The risk of bias was 10\u00d7 moderate, 4\u00d7 severe and 3\u00d7 critical. The RCTs could be divided by the following evidence levels: 10\u00d7 Ib, 1\u00d7 IIb, 1\u00d7 III and 1\u00d7 IV. The risk of bias was 10\u00d7 moderate and 3\u00d7 critical.<\/jats:p><jats:p>In the case of chronic back pain, the use of orthoses leads to a reduction in pain and has a positive effect on back extensor strength, but a significant reduction in pain cannot be achieved in osteoporosis-associated vertebral body fractures. The currently available literature do not support the superiority of a specific type of orthosis.<\/jats:p>","DOI":"10.1055\/a-2566-1049","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T19:23:57Z","timestamp":1748287437000},"page":"468-476","source":"Crossref","is-referenced-by-count":1,"title":["Orthosis in the Treatment of Osteoporosis-associated Fractures and Chronic Symptoms in the Spine \u2013 a Systematic Review"],"prefix":"10.1055","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-1079-9843","authenticated-orcid":false,"given":"John Fitzgerald","family":"Tipton","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie, Plastische, Rekonstruktive und Handchirurgie, Bundeswehrkrankenhaus Westerstede, Westerstede, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Schulze","sequence":"additional","affiliation":[{"name":"Rehabilitation, Zentrum f\u00fcr Sportmedizin der Bundeswehr, Warendorf, Deutschland"},{"name":"Orthop\u00e4dische Klinik und Poliklinik, Universit\u00e4tsmedizin Rostock, Rostock, Deutschland"},{"name":"Universit\u00e4tsinstitut f\u00fcr Physikalische Medizin und Allgemeine Rehabilitation, Universit\u00e4tsklinik Salzburg LKH, Salzburg, \u00d6sterreich"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0199-0283","authenticated-orcid":false,"given":"Philipp Georg","family":"Schnadthorst","sequence":"additional","affiliation":[{"name":"Zentrale Notaufnahme, Klinik f\u00fcr An\u00e4sthesie, Intensiv- und Notfallmedizin, Schmerztherapie, Bundeswehrkrankenhaus Hamburg, Hamburg, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,5,26]]},"reference":[{"key":"ref1","volume-title":"Orthop\u00e4die und Unfallchirurgie essentials \u2013 Intensivkurs zur Weiterbildung","author":"S 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Vogt","year":"2008","journal-title":"Prosthet Orthot Int"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"849","DOI":"10.4065\/80.7.849","article-title":"Significant reduction in risk of falls and back pain in osteoporotic-kyphotic women through a spinal proprioceptive extension exercise dynamic (SPEED) program","volume":"80","author":"M Sinaki","year":"2005","journal-title":"Mayo Clin Proc"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"433","DOI":"10.1016\/j.spinee.2022.11.009","article-title":"Compliance with wearing a thoracolumbar orthosis in nonoperative treatment of osteoporotic vertebral fractures: a prospective sensor-controlled study","volume":"23","author":"PR Furrer","year":"2023","journal-title":"Spine J"}],"container-title":["Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2566-1049.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T23:04:55Z","timestamp":1758668695000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2566-1049"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,26]]},"references-count":38,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,9,23]]},"published-print":{"date-parts":[[2025,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2566-1049","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,26]]}}}