What type of orthosis would be most appropriate for a patient with a T11 anterior compression fracture who is neurologically intact and has a stable fracture?

For a patient with a T11 anterior compression fracture who is neurologically intact and has a stable fracture, the most appropriate orthosis is the CASH TLSO or Jewett TLSO. Both of these devices are designed to provide effective stabilization of the thoracic and lumbar spine, which is essential in managing vertebral compression fractures.

The CASH TLSO (Cruciform Anterior Spinal Hyperextension) and Jewett TLSO are characteristic in their ability to control flexion and extension while allowing for some lateral movement, thus promoting healing without compromising mobility too much. They effectively limit motion in the region of the injury, thereby reducing stress on the fracture site and providing adequate support. This type of management is critical in stable fractures, where bracing helps maintain spinal alignment and prevents further injury.

Additionally, these orthoses can be adjusted to the patient's needs and accommodate their daily activities, which is particularly beneficial for a patient who is neurologically intact. Providing comfort and support, they also encourage adherence since patients can engage more in their rehabilitation and daily activities without significant hindrance.

The other options provided are not suitable for managing a T11 anterior compression fracture in a neurologically intact patient. The Boston Brace is primarily used for scoliosis management and would not provide the