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With vertebrae immobilization so that the muscle spasm which happened cause

by subperiosteum edema response from fracture will be released.


Vertebrae movements will increase the pain, which followed with muscle spasm.
Spinal orthotic is useful enough. We can choose Jewelt Brace Bivalved Shields or
thoracolumbal brace.
Actually, pain can be released immediately. If needed we can give sedative
medication and right body position, severe analgesic medication like codeine
sulphate and other derivate or mild analgesic medication to ignore constipation.
If exercise toleration start appear, we can give the exercise, posturing and
education for patient.
Indication program

Bed rest
Analgesic
Avoid constipation
Exercise
Positioning/ergonomic
Physiotherapy: modality therapy, massage

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