ArticleActa orthopaedica2026
Return to work following traumatic fractures of the thoracolumbar spine without spinal cord injury: a scoping review.
Article in Acta orthopaedica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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7 authors.
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Abstract
background and purposeTraumatic fractures of the thoracolumbar spine happen in the younger, working-age population and often compromise return to work (RTW), a key factor in functional recovery and overall quality of life. Our review summarizes the current evidence on RTW following traumatic thoracolumbar fractures without spinal cord injury.
methodsA comprehensive literature search was conducted in Embase, Medline (OvidSP), Web of Science, CINAHL and Cochrane through July 2025. Studies were included if they met the following criteria: (i) traumatic thoracolumbar spine fracture without spinal cord injury, (ii) RTW reported as an outcome measure, (iii) prospective or retrospective cohort study or case-control design, and (iv) availability of a full-text article. Risk of bias was assessed for each included study.
results31 studies met the inclusion criteria. Follow-up ranged from 3 to 226 months. Only 8 out of 31 studies were rated as low risk of bias. Reported RTW rates varied widely: 25% to 100% after surgical treatment (n = 19 studies) and 38% to 100% after non-surgical treatment (n = 19 studies). Pooled estimates showed that the mean RTW is between 76% and 84% in patients with a thoracolumbar spine fracture, irrespective of treatment modality.
conclusionEstimated RTW rates range between 76% and 84%.
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