Good brace compliance reduced curve progression and surgical rates in patients with idiopathic scoliosis

被引：60

作者：

Brox, Jens Ivar ^{[1
]}

Lange, Johan Emil ^{[1
]}

Gunderson, Ragnhild Beate ^{[2
]}

Steen, Harald ^{[3
]}

机构：

[1] Oslo Univ Hosp, Sect Back Surg, Dept Orthopaed, Rikshosp, N-0027 Oslo, Norway

[2] Oslo Univ Hosp, Rikshosp, Dept Radiol, N-0027 Oslo, Norway

[3] Oslo Univ Hosp, Rikshosp, Biomech Lab, Dept Orthopaed, N-0027 Oslo, Norway

来源：

EUROPEAN SPINE JOURNAL | 2012年 / 21卷 / 10期

关键词：

Idiopathic scoliosis; Bracing; Compliance; Curve progression; Surgery; GIRLS; VALIDITY;

D O I：

10.1007/s00586-012-2386-9

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

To examine the association between brace compliance and outcome. 495 (457 females) patients with late onset juvenile and adolescent idiopathic scoliosis were examined prospectively before bracing and at least 2 years after brace weaning. One spine surgeon examined all patients. 381 (353 females) answered a standardised questionnaire and 355 had radiological examination after median 24 years. Compliance was defined as brace wear > 20 h daily until weaning. Main outcomes were curve progression and surgery. At weaning, 76/389 compliers and 59/106 non-compliers had curve progression a parts per thousand yen6A degrees (OR 5.2, 95 % CI 3.3-8.2). At long-term the numbers were 68/284 and 46/71 (OR 5.8, 95 % CI 3.3-10.2), 10/284 versus 17/71 had been operated (OR 8.6, 95 % CI 3.7-19.9). We conclude that the risk for curve progression and surgery are reduced in patients with good brace compliance.

引用

页码：1957 / 1963

页数：7

共 26 条

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