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Conservative treatment of fractures of the thoracic and lumbar spine.

Patients with burst fractures of the thoracic and lumbar spines must receive individualized case analysis before a course of therapy can be decided. A consideration of fracture stability, degree of canal compromise, and patient evaluation becomes significant in determining operative or nonoperative treatment. In neurologically intact patients with selected fractures, nonoperative treatment can be successful in the functional rehabilitation of the patient.