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Purpose: We developed a new external fixation method for spinal compression fracture in which the patient wears only the anterior-half of a body cast and the cast is fixed by applying a soft brace, lumbar belt, or rib belt for rib fracture treatment on it. Advantages: Toyohira Orthopedic Device with Attachment (TODA) can be prepared on the first examination day. TODA does not cause a feeling of pressure and sleep disorder. TODA can be regarded as a simple Jewett brace capable of continuous attachment. By loosening TODA attachment by loosening the soft brace, lumbar belt, or rib belt before sleep, some patients are able to wear TODA by themselves when they stand up. Physicians are not called at night-time or on holidays for a feeling of pressure and sleep disorder. Using TODA, continuous cast attachment is easy even for elderly patients. TODA is also applicable for outpatients. Either treatment with a rigid brace, soft brace, lumbar belt after completion of treatment with TODA, or continuation of TODA can be selected. The number of casts can be reduced when the posterior-half of the cast is absent or thin. An anterior-half body cast can be made in the supine position. A soft brace is often prepared for elderly patients with spinal compression fracture on the first examination at another hospital. TODA can be prepared for such patients. Unnecessary body casts with various sizes after completion of treatment can be reused for other patients. Supplement: When a soft brace is used, its widening by adding new string is necessary and a free sample or used one left in hospital is used, or those which became unnecessary after treatment completion are collected from several patients and stored. For a lumbar or rib belt, the belts after completion of TODA are reused for other patients. *Correspondence to: Katsuhiro Toda, Department of Orthopedic Surgery, Kitahiroshima Town, Toyohira Hospital, 4705, Azaka, Kita-Hiroshima Town, Yamagata-Gun, Hiroshima, 731-1222, Japan; Tel: +81-826-84-1155; Fax: +81826-84-1015; E-mail: goutattack@yahoo.co.jp

Usefulness of anterior-half body cast using a soft brace or lumbar belt for spinal compression fracture: Toyohira orthopedic device with attachment