Which orthosis is most suitable for managing a T6, 2-column compression fracture?

For managing a T6, 2-column compression fracture, a thoracolumbosacral orthosis (TLSO) designed for sagittal and coronal control is the most suitable choice. This type of orthosis provides both anterior-posterior and lateral support, which is critical for stabilizing the thoracic spine after such an injury.

The sagittal control aspect helps in preventing flexion and extension movements that can exacerbate the injury, while the coronal control aids in limiting side bending. This dual function is particularly important with a compression fracture, as it helps to maintain spinal alignment, reduce pain, and facilitate healing by offloading the affected vertebra.

In contrast, other choices would not provide the same level of stability required for the specific nature of a T6, 2-column compression fracture. Options that focus solely on anterior control or dorsal support would not adequately stabilize the spine or prevent potentially harmful movements. Therefore, employing a TLSO that addresses both sagittal and coronal control is essential for optimal management and recovery in this scenario.