What is the recommended treatment for a type 1 Dennis fracture or anterior compression fracture?

The recommended treatment for a type 1 Dennis fracture, also known as an anterior compression fracture, focuses on stabilization and pain relief without involving invasive procedures. A Jewett brace or a CASH (Cruciform Anterior Spinal Hyperextension) brace is specifically designed for managing compression fractures in the thoracic and lumbar regions of the spine.

These braces serve to maintain proper spinal alignment while limiting flexion, thereby reducing the risk of further injury and facilitating healing. They help distribute weight and prevent excessive movements that could exacerbate the fracture. The hyperextension provided by these braces allows patients to mobilize more easily and engage in activities of daily living, promoting independence during the recovery process.

Alternative treatments such as brace and rest may provide some support but do not offer the same level of stabilization and alignment corrective measures as the Jewett or CASH brace. Cast immobilization is typically reserved for more significant fractures or specific orthopedic conditions that require rigid immobilization. Lastly, surgery is considered for fractures that do not respond adequately to conservative management or for fractures associated with neurological deficits or significant instability, which is not the case for a type 1 Dennis fracture.