Is there a difference in bracing techniques when instrumentation is involved?
JH: I dont see any difference in the bracing technique in conservative or surgical therapy not even in regard to the insertion of metal spinal implants. Bracing (orthotics) has no direct effect on the implant position or fixation. In the case when an implant is not successfully implanted and/or no intraoperative stability occurs, an orthosis cannot help. Rather, reduced mobility and an increase of pressure inside the abdomen enhance the safety of the implant. Dr. Harms, thank you for your responses.
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