Predicting spinal instability of vertebral thoracic lumbar fractures is based on several radiologic and clinical parameters.
Nonsurgical treatment involves the use of a full-body, exterior brace, normally a thoracic lumbar sacral orthosis (TLSO), often custom-molded to the subject's body.
It is probable that the subject may exhibit some spinal dislocation after removal of the TLSO,[6] and it is well within expected parameters with little neurological impact experienced by month 3.
[citation needed] In the long-term, varying degrees of pain, function, and appearance may affect the traumatized region during the subject's lifetime.
A burst fracture results in a permanent decrease in anterior height, varying degrees of kyphosis,[7] and possible changes in neurological signal intensity with possible deterioration over time.