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Letters to the Editor   |    
Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit
J.J. Verlaan, MD; F.C. Oner, MD
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The authors did not receive grants or outside funding in support of their research or preparation of this work. They did not receive payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, educational institution, or other charitable or nonprofit organization with which the authors are affiliated or associated.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Mar 01;86(3):649-651
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To The Editor:We read with great interest the article entitled "Operative Compared with Nonoperative Treatment of a Thoracolumbar Burst Fracture without Neurological Deficit. A Prospective, Randomized Study" (2003; 85:773-81), by Wood et al. The prospective, randomized design of this study sets it apart from the numerous retrospective case series that have been published in the last two decades and is generally regarded as the only way to obtain valid results1-3. Since the debate about the operative or nonoperative treatment of traumatic burst fractures has not been resolved because of weak scientific evidence from both sides, the study by Wood et al. could have provided us with some solid claims that could have guided us to an optimal treatment regimen. Therefore, we were a bit disappointed to find that the study had some serious flaws that, in our opinion, render the authors' conclusions unjustified.
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