Effectiveness of the Providence nighttime bracing in adolescent idiopathic scoliosis: a comparative study of 36 female patients

Yrjönen, Timo; Ylikoski, Mauno; Schlenzka, Dietrich; Kinnunen, Riitta; Poussa, Mikko

doi:10.1007/s00586-005-0049-9

Cited by 59 publications

(71 citation statements)

References 17 publications

(24 reference statements)

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“…Because of the combination of translational and rotational forces, a well-fitted brace often leaves the patient with considerable tilt of the shoulders and truncal rotation, making standing and walking difficult. Like the Charleston brace, proponents of the Providence brace typically use it as a primary bracing option in lieu of traditional TLSO bracing [13,24,63]. In appropriately selected patients, both the Charleston and Providence braces used at night only are effective and comparable to full-time TLSO use [13,19,47,60,63].…”

Section: Providence Bracementioning

confidence: 99%

“…Like the Charleston brace, proponents of the Providence brace typically use it as a primary bracing option in lieu of traditional TLSO bracing [13,24,63]. In appropriately selected patients, both the Charleston and Providence braces used at night only are effective and comparable to full-time TLSO use [13,19,47,60,63]. The best results have been seen in children with very flexible, single structural thoracolumbar and lumbar curves.…”

Section: Providence Bracementioning

confidence: 99%

“…The Wilmington and Boston braces are used similarly. Nighttime bracing systems are more effective in patients with isolated flexible thoracolumbar and lumbar curves [25,47,60,63]. Other currently used indications include patient noncompliance with a fulltime wear program, patients in whom other types of orthotic management had failed, and patients nearing skeletal maturity who may not require full-time wear.…”

Section: Standard Of Care For Brace Treatment Of Idiopathic Scoliosismentioning

confidence: 99%

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A History of Bracing for Idiopathic Scoliosis in North America

Fayssoux

Cho

Herman

2010

Clinical Orthopaedics &Amp; Related Research

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The care of the patient with scoliosis has a history extending back over two millennia with cast and brace treatment being a relatively recent endeavor, the modern era comprising just over half a century. Much of the previous literature provides a modest overview with emphasis on the history of the operative management. To better understand the current concepts of brace treatment of scoliosis, an appreciation of the history of bracing would be helpful. As such, we review the history of the treatment of scoliosis with an emphasis on modern brace treatment, primarily from a North American perspective. Our review utilizes consideration of historical texts as well as current treatises on the history of scoliosis and includes discussion of brace development with their proponents' rationale for why they work along with an appraisal of their clinical outcomes. We provide an overview of the current standards of care and the braces typically employed toward that standard including: the Milwaukee brace, the Wilmington brace, the Boston brace, the Charleston brace, the Providence brace and the SpineCor brace. Finally, we discuss future trends including improvements in methods of determining the critical period of peak growth velocity in children with scoliosis, the exciting promise of gene markers for progressive scoliosis and ''internal bracing'' options.

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Section: Providence Bracementioning

confidence: 99%

Section: Providence Bracementioning

confidence: 99%

Section: Standard Of Care For Brace Treatment Of Idiopathic Scoliosismentioning

confidence: 99%

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A History of Bracing for Idiopathic Scoliosis in North America

Fayssoux

Cho

Herman

2010

Clinical Orthopaedics &Amp; Related Research

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“…Until now, brace treatment has served as a vital non-surgical procedure for immature AIS patients with a mild or moderate curve, because bracing can effectively halt curve progression and prevent surgical intervention in some cases [17,19,23,31,34,35]. To date, several types of brace devices have been developed, such as the Milwaukee [17], Boston [19], Charleston [25], Providence [32], Rosenberger [24], Wilmington [1] and Chêneau [34]. Brace treatment for AIS patients is largely successful but at times does fail to control curve progression.…”

Section: Introductionmentioning

confidence: 99%

Does brace treatment impact upon the flexibility and the correctability of idiopathic scoliosis in adolescents?

Sun

Liu

et al. 2012

Eur Spine J

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Purpose Brace treatment has served as a vital non-surgical procedure for immature adolescent idiopathic scoliosis (AIS) patients with a mild or moderate curve. For the patients who fail in bracing and resort to surgery, it is unclear whether prior full-time brace treatment significantly influences outcomes. This study aims to investigate whether prior brace treatment has a negative impact upon the flexibility and correctability of the main curve in patients with AIS. Methods The participants were collected from female AIS patients who underwent posterior correction surgery with pedicle screw instrumentation from August 2006 to December 2010, with or without prior brace treatment. Patients included in Group A had prior brace treatment over a 1-year period, and underwent surgery within 6 months after cessation of bracing; those in Group B received no prior treatment and were randomly selected from our database. Curve flexibility pre-surgery and curve correctability post-surgery were computed and compared between both groups and subgroups according to the curve location.Results Each group consisted of 35 patients. Age, curve magnitude and location were comparable between the two groups. Before surgery, patients in Group A had a slightly lower curve flexibility than those in Group B (52 vs. 60 %, P = 0.036). After surgery, satisfactory correction results were observed in both groups, but the average post-operative main curve magnitude of patients in Group B was 4°l ess than that of Group A (10°vs. 14°, P = 0.010). The curve correctability in Group B was significantly higher than that in Group A (80 vs. 74 %, P = 0.002). No matter what curve pattern the patient had, having a prior history of brace treatment resulted in a trend of lower flexibility and correctability of their scoliosis. Conclusions Good surgical correction can be achieved in AIS patients who have been unsuccessful with prior brace treatment. However, a history of prior brace treatment leads to a trend of lowering the curve flexibility, and in turn, negatively impacts upon the curve correctability.

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“…Usually, braces effects were analyzed primarily by measuring the Cobb angle (which is only a two-dimensional measure) of the major curve in the frontal plane [15], [16]. Some studies tried to take into account the three-dimensional nature of spine deformity by measuring the curve gravity in both the frontal and the sagittal plane [17].…”

Section: Introductionmentioning

confidence: 99%

Geometric Variability of the Scoliotic Spine Using Statistics on Articulated Shape Models

Boisvert

Cheriet

Pennec

et al. 2008

IEEE Trans. Med. Imaging

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Abstract-This paper introduces a method to analyze the variability of the spine shape and of the spine shape deformations using articulated shape models. The spine shape was expressed as a vector of relative poses between local coordinate systems of neighbouring vertebrae. Spine shape deformations were then modeled by a vector of rigid transformations that transforms one spine shape into another. Because rigid transforms do not naturally belong to a vector space, conventional mean and covariance could not be applied. The Fréchet mean and a generalized covariance were used instead. The spine shapes of a group of 295 scoliotic patients were quantitatively analyzed as well as the spine shape deformations associated with the CotrelDubousset corrective surgery (33 patients), the Boston brace (39 patients) and the scoliosis progression without treatment (26 patients). The variability of inter-vertebral poses was found to be inhomogeneous (lumbar vertebrae were more variable than the thoracic ones) and anisotropic (with maximal rotational variability around the coronal axis and maximal translational variability along the axial direction). Finally, brace and surgery were found to have a significant effect on the Fréchet mean and on the generalized covariance in specific spine regions where treatments modified the spine shape.

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Effectiveness of the Providence nighttime bracing in adolescent idiopathic scoliosis: a comparative study of 36 female patients

Cited by 59 publications

References 17 publications

A History of Bracing for Idiopathic Scoliosis in North America

A History of Bracing for Idiopathic Scoliosis in North America

Does brace treatment impact upon the flexibility and the correctability of idiopathic scoliosis in adolescents?

Geometric Variability of the Scoliotic Spine Using Statistics on Articulated Shape Models

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