Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies - SOSORT award 2013 winner

Abstract

BackgroundThe Juvenile idiopathic scoliosis by age of onset, severity and evolutivity is source of great doubts concerning the purpose and use of conservative treatment. The different clinical experiences leave unsolved the question that arises in applying a conservative treatment when the patients are effectively forward a long growing period, in scoliosis characterized by inevitable evolutivity. The purpose of the present prospective study was to determine the effectiveness of conservative treatment in Juvenile idiopathic scoliosis.MethodsFrom 1238 patients treated for idiopathic scoliosis between 1995 and 2012 fulfill the inclusion criteria 163 patients treated with PASB, Lyon brace and Milwaukee. Of these, 113 patients had a definite outcome, 27 have abandoned treatment e 23 are still in treatment. The minimum follow-up was 24 months. Radiographs were used to estimate the curve magnitude (CM) and the torsion of the apical vertebra (TA) at 5 time points: beginning (t1), 6 months after the beginning (t2), intermediate time between t1 and t4 (t3), end of weaning (t4), 2-years minimum follow-up (t5). Three outcomes were distinguished in agreement with SRS criteria: correction, stabilization and progression.ResultsThe results from our study showed that of the 113 patients with a definite outcome CM mean value was 29.6 ± 7.5 SD at t1 and 16.9 ± 11.1 SD at t5. TA was 13.5 ± 5.4 SD at t1 and 8.5 ± 5.6 at t5. The variations between CM t5-t1 and TA t5-t1 were statistically significantly different. Curve correction was accomplished in 88 patients (77.8%), stabilization was obtained in 18 patients (15.9%). 7 patients (6.19%) have a progression and 4 of these were recommended for surgery. Of 26 patients who abandoned the treatment, at the time of abandonment (12.5 age) have achieved curve correction in 19 cases (70.0%), stabilization in 5 cases (19%) and progression in 3 cases (11%). Of these patients, reviewed at the end of growing, four have been operated on.ConclusionsOur study confirmed that conservative treatment with brace is highly effective in treating juvenile idiopathic scoliosis, in particular most patients reaching a complete curve correction and only 4.9% of patients need surgery.

An Overview of the Current State of Pediatric Scoliosis Management

“…In this case growth can act as a corrective force [12 -14]. The diagnosis of JIS is associated with a > 70 % risk of curve progression and the majority of JIS patients will need surgical intervention for curve correction [15]. While AIS is the most com-monly encountered form of idiopathic scoliosis, only about 10 % of these patients require conservative treatment and less than 1 % are surgically corrected [6].…”

Application of Out-of-Hospital Extended Nursing in Brace Treatment of Patients with Idiopathic Scoliosis

“…Idiopathic scoliosis is commonly occurring in children and adolescents, and patients can't be hospitalized for long periods of time because of their studies or other reasons, while the rehabilitation of idiopathic scoliosis is a long-term process that requires perseverance [14] . Therefore, out-of-hospital extended care is doubly important when patients may feel uncomfortable and want to give up at the beginning of wearing brace [15][16] , or when they feel bored and can't persist for a long time At the same time, good out-of-hospital extended care can further improve patient compliance [17][18] , make patients insist on doing rehabilitation training and correct brace wear, eventually significantly improving the degree of scoliosis (Cobb angle) and the quality of life of the patients [19] .…”

Vloga reber pri nastanku in napredovanju idiopatske skolioze

“…To krivi hrbtenico. Neprenehno slabšanje lahko preprečimo z opornim steznikom (40,41), a opornice morajo prepreče-vati obračanje vretenc. Če se uporabi le stranski pritisk za ravnanje hrbtenice, se zasukanost poveča.…”