Effectiveness of Conservative Treatment in Patients With Thoracic and Lumbar Fractures Without Neurological Deficit

Inclusion Criteria: * Patients aged 18 to 65 years. * Isolated fracture of a single thoracic or lumbar vertebra, classified as type A2 or A3 according to the AOSpine classification. * Absence of clinical evidence of nerve root or spinal cord compression at the injury level. * Degree of spinal canal space narrowing less than 50% based on CT scans. * Informed consent to participate in the study. Exclusion Criteria: * Sagittal imbalance (Type 4 by C. Barrey). * Vertebral bone density at the injury level less than 100 HU or osteoporosis exceeding grade 3 in vertebral bodies, pelvic bones, and limbs. * Previous spinal surgeries. * Anesthesia risk of 4 or 5 according to ASA. * Acute exacerbation and decompensation of somatic diseases. * Malignant tumors at any site. * Systemic connective tissue disorders. * Cognitive impairments hindering patient communication. * Floating and mural thrombosis, regardless of location. * Newly identified and uncorrectable cardiac rhythm disorders. * Dizziness. * Consequences of a previous acute cerebrovascular event. * Pregnancy at any stage. * Acute infectious diseases. * History of fractures of the pelvis, lower limbs, or vertebral bodies. * Congenital spinal and limb disorders. * Any conditions contraindicating physiotherapeutic procedures. * Patient refusal to participate in the study. * Inability to participate in follow-up examinations for one year after the injury. * Participation in other clinical trials. * Absence of a signed informed vol…