RESULTS OF TREATMENT OF IDIOPATHIC SCOLIOSIS WITH THE CHARLESTON BENDING ORTHOSIS

被引:20
作者
FEDERICO, DJ [1 ]
RENSHAW, TS [1 ]
机构
[1] NEWINGTON CHILDRENS HOSP,DEPT ORTHOPAED SURG,181 E CEDAR ST,NEWINGTON,CT 06111
关键词
Idiopathic scoliosis; Orthotic treatment; Part-time orthotic treatment; Spinal orthosis;
D O I
10.1097/00007632-199009000-00009
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The authors present a preliminary retrospective review of the treatment of 32 patients with idiopathic scoliosis with the Charleston bending thoracolumbosacral orthosis (TLSO), a new, low-profile spinal orthosis. At the onset of treatment, the patients’ mean age was 12.5 years and the mean Risser stage was 0.4. Females achieved menarche at an mean of 1.8 months after starting orthotic treatment. Single structural curves were treated in all patients. At this time, 2 patients have failed treatment, their curves progressing 12° and 8°, respectively. An additional 11 patients have successfully completed treatment, having reached skeletal maturity with no more than 5° of curve progression. Their mean curve change was a 2.2° de-crease. The other 19 patients remain under treatment. The Charleston bending TLSO is worn only during nighttime sleeping hours. It is well tolerated, with excellent patient compliance and low psychological stress, and it may be as successful at curve control as other orthoses. Experience with more patients and longer follow-up is needed. © Lippincott-Raven Publishers.
引用
收藏
页码:886 / 887
页数:2
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  • [1] Carr W.A., Moe J.H., Winter R.B., Lonstein J.E., Treatment of idiopathic scoliosis in the Milwaukee brace: Long term results, J Bone Joint Surg, 62A, pp. 599-612, (1980)
  • [2] Diraimondo C.V., Green N.E., Maclean W., Bracewear compliance in adolescent idiopathic scoliosis, Orthop Transact, 9, (1985)
  • [3] Emans J.B., Kaelin A., Bancel P., Hall J.E., Miller M.E., The Boston brace treatment of idiopathic scoliosis: Follow up results in 295 patients, Spine, 11, pp. 792-801, (1986)
  • [4] Galloway M., Renshaw T.S., The Effect of Part-Time versus Full-Time Brace Wear in the Treatment of Idiopathic Scoliosis
  • [5] Green N.E., Part-time bracing of adolescent idiopathic scoliosis, J Bone Joint Surg, 68A, pp. 738-742, (1986)
  • [6] Kahnovitz N., Levine D.B., Lardone J., The part-time Milwaukee brace treatment of juvenile idiopathic scoliosis. Long term follow-up, Clin Orthop, 167, pp. 145-151, (1982)
  • [7] Keller R.B., Nonoperative treatment of adolescent idiopathic scoliosis, AAOS Instructional Course Lectures, 38, pp. 129-134, (1989)
  • [8] Lonstein J.E., Carlson J.M., The prediction of curve progression in untreated idiopathic scoliosis during growth, J Bone Joint Surg, 66A, pp. 1061-1071, (1984)
  • [9] Renshaw T.S., Orthotic treatment of idiopathic scoliosis and kyphosis, AAOS Instructional Course Lectures, 38, pp. 110-118, (1985)
  • [10] Riddick M.F., Price C.T., Time modified brace wearan effective alternative treatment regimen, Orthop Transact, 9, (1985)