NIGHTTIME BRACING FOR ADOLESCENT IDIOPATHIC SCOLIOSIS WITH THE CHARLESTON BENDING BRACE - PRELIMINARY-REPORT

被引：72

作者：

PRICE, CT ^{[1
]}

SCOTT, DS ^{[1
]}

REED, FE ^{[1
]}

RIDDICK, MF ^{[1
]}

机构：

[1] ORLANDO REG MED CTR INC,ORLANDO,FL

来源：

SPINE | 1990年 / 15卷 / 12期

关键词：

SCOLIOSIS; BRACING; ORTHOSIS; NONOPERATIVE TREATMENT; IDIOPATHIC;

D O I：

10.1097/00007632-199012000-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The authors report their preliminary experience with the Charleston bending brace for the treatment of adolescent idiopathic scoliosis. This brace holds the patient in the position of maximum side bend correction and is worn only at night. Patients in this prospective multicentered study met all the following criteria: skeletal immaturity (Risser 0, 1 +, or 2+), curvature greater than 25-degrees before bracing, no prior treatment, and greater than 1-year follow-up since initiation of treatment. There were 191 structural curves in the 139 patients. One hundred fifteen patients (83%) showed improvement or less than 5-degrees change in curvature. Twenty-four patients (17%) demonstrated an increase in curvature greater than 5-degrees. Based on these preliminary results, continued use of bending brace treatment at nighttime only is justified for adolescent idiophatic scoliosis. Patients with double curves should be observed closely for increase in compensatory curves.

引用

页码：1294 / 1299

页数：6

共 19 条

[1]

Andrews G., Macewen G.D., Idiopathic scoliosisan 11-year follow-up study of the role of the Milwaukee brace in curve control and trunco-pelvic alignment, Orthopaedics, 12, pp. 809-816, (1989)

[2]

Arkin A.M., Correction of structural changes in scoliosis by corrective plaster jackets and prolonged recumbency, J Bone Joint Surg, 46 A, pp. 33-54, (1964)

[3]

Barr J.S., Buschenfeldt K., Tumbuckle brace: 3 point pressure brace for corrective treatment of ambulatory cases of scoliosis, J Bone Joint Surg, 18, pp. 760-765, (1936)

[4]

Bassett G.S., Bunnell W.P., Macewen G.D., Treatment of idiopathic scoliosis with the Wilmington brace, J Bone Joint Surg, 68 A, pp. 602-605, (1986)

[5]

Brown L.P., Greenville, South Carolina (Unpublished Data)

[6]

Bunnell W.P., The natural history of idiopathic scoliosis before skeletal maturity, Spine, 11, 8, pp. 773-776, (1986)

[7]

Bunnell W.P., Macewen G.D., Jayakumar S., The use of plastic jackets in the non-operative treatment of idiopathic scoliosis, J Bone Joint Surg, 62 A, 1, pp. 31-38, (1980)

[8]

Carr W.A., Moe J.H., Winter R.B., Lonstein J.E., Treatment of idiopathic scoliosis in the Milwaukee brace, J Bone Joint Surg, 62 A, 4, pp. 599-612, (1980)

[9]

Edmonson A.S., Morris J.T., Follow-up study of Milwaukee brace treatment in patients with idiopathic scoliosis, Clin Orthop, 126, pp. 58-61, (1977)

[10]

Edwards J.W., Volume, Orthopaedic Appliances Atlas, 1, pp. 180-182, (1952)

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