Evidence-based guidelines for rehabilitation treatment after internal fixation of thoracolumbar spine fracture in adults (version 2025)
- VernacularTitle:成人胸腰椎骨折内固定术后康复治疗循证指南（2025版）
- Author:
Zhengwei XU
1
;
Liming CHENG
;
Qixin CHEN
;
Jian DONG
;
Shunwu FAN
;
Zhong FANG
;
Shiqing FENG
;
Haoyu FENG
;
Haishan GUAN
;
Weimin JIANG
;
Dianming JIANG
;
Yong HAI
;
Lijun HE
;
Yuan HE
;
Bo LI
;
Jianjun LI
;
Feng LI
;
Li LI
;
Weishi LI
;
Chunde LI
;
Qi LIAO
;
Baoge LIU
;
Xiaoguang LIU
;
Yong LIU
;
Xuhua LU
;
Shibao LU
;
Bin LIN
;
Wei MEI
;
Chao MA
;
Renfu QUAN
;
Limin RONG
;
Jiacan SU
;
Honghui SUN
;
Yuemin SONG
;
Hongxun SANG
;
Jun SHU
;
Tiansheng SUN
;
Jiwei TIAN
;
Qiang WANG
;
Xinwei WANG
;
Zhe WANG
;
Zheng WANG
;
Liang YAN
;
Guoyong YIN
;
Jie ZHAO
;
Yue ZHU
;
Xiaobo ZHANG
;
Xuesong ZHANG
;
Zhongmin ZHANG
;
Rongqiang ZHANG
;
Dingjun HAO
;
Yanzheng GAO
;
Baorong HE
Author Information
- Publication Type:Journal Article
- Keywords: Spinal injuries; Spinal cord injuries; Fracture fixation, internal; Rehabilitation
- From: Chinese Journal of Trauma 2025;41(1):19-32
- CountryChina
- Language:Chinese
- Abstract: Thoracolumbar spine fracture often leads to severe pain, functional impairments, and neurological deficits, for which open reduction and internal fixation can effectively restore the spinal structural stability. Open decompression and reduction with internal fixation can help relieve spinal cord compression and improve spinal function in cases of concomitant cord injury. Although spinal stability can be restored through surgery, patients often face chronic pain and functional impairments postoperatively. A postoperative rehabilitation program is critical in optimizing therapeutic outcomes, reducing complications, and minimizing the risk of secondary injuries. However, current rehabilitation methods, such as physical therapy, functional training, and pain management, are confronted with problems in clinical practice, including significant variation in efficacy, poor patient adherence, and prolonged rehabilitation period. There is an urgent need for a unified rehabilitation strategy to address these problems. To this end, the Spinal Trauma Group of the Orthopedic Physicians Branch of the Chinese Medical Association and the Spine Health Professional Committee of the Chinese Human Health Technology Promotion Association organized experts from relevant fields to formulate Evidence-based guidelines for rehabilitation treatment after internal fixation of thoracolumbar spine fracture in adults ( version 2025) by integrating evidences from clinical researches and advanced rehabilitation concepts at home and abroad. A total number of 14 recommendations concerning the rehabilitation treatment with multimodal analgesia, psychological intervention, deep vein thrombosis prevention, core muscle and extremity exercise, appropriate use of braces, early weight-bearing, device-aided rehabilitation exercise, neuroregulatory therapy, rehabilitation team were put forward, aiming to standardize the post-operative rehabilitation process following internal fixation, promote the functional recovery, and enhance patients′ quality of life.
