Use of the Rosenberger Brace in the Treatment of Progressive Adolescent Idiopathic Scoliosis

Spoonamore, Mark J.; Dolan, Lori A.; Weinstein, Stuart L.

doi:10.1097/01.brs.0000128756.89367.9e

Cited by 34 publications

(18 citation statements)

References 47 publications

(38 reference statements)

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“…The effect of bracing in idiopathic scoliosis has been evaluated in our series and essentially in the AP plane by means of global statistics [2][3][4][5][6][7][8]. However, the different curve topology and severity, different brace concepts and designs should not be analyzed together as this could lead to controversial conclusions.…”

Section: Introductionmentioning

confidence: 99%

3D analysis of brace treatment in idiopathic scoliosis

et al. 2013

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Purpose We have evaluated the effect of bracing in scoliosis on coronal alignment in a cohort of patients. Current literature has not described the specific effect of bracing on the 3D shape of the scoliotic curves. The purpose of this study was to analyze the variability of the 3D effect of bracing on idiopathic scoliosis. Materials and methods The spines of 30 patients with adolescent idiopathic scoliosis were reconstructed using biplanar stereoradiography with and without the brace. The Cobb angle, sagittal and pelvic parameters and transverse plane parameters were calculated. The variability and the mean values of each parameter, with and without a brace, were analyzed and compared using a student t test. Results The Cobb angle improved in 50 % of patients but remained unchanged in 50 % cases. In 90 % of the cases lordosis was decreased. The thoracic kyphosis was decreased in 26 % cases, unchanged in 57 % of cases and increased in 17 % cases. The AVR was improved ([5°) in 26 % cases, worsened in 23 % and unchanged in 50 %. Only the differences of Cobb angle and the lordosis were statistically significant.Conclusions Global statistics of this study concur with the literature. The Cobb angle was significantly improved. It also showed a significant hypolordotic effect. However, the results showed a high variability of the brace treatment effect in almost every parameter. Analysis of this variability by means of 3D reconstructions instead of global statistics should help characterize the mechanisms of correction of brace treatment.

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Section: Introductionmentioning

confidence: 99%

3D analysis of brace treatment in idiopathic scoliosis

et al. 2013

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“…Thoracic curves above 80° Cobb angle can result in decreased pulmonary capacity, back pain, and significant cosmetic deformity [1,8]. The current treatment protocols for mild curves below 25° is observation alone or with physiotherapy, for curves equal or greater than 25° orthotic treatment is used alone or in conjunction with physiotherapy, while surgery is indicated for curves greater than 45° [1,4,5,7,9-11]. The use of bracing treatment for AIS continues to be controversial, but it is the only alternative treatment available that might prevent surgery for progressive curves in skeletally immature patients.…”

Section: Introductionmentioning

confidence: 99%

Comparison of in-and outpatients protocols for providence night time only bracing in AIS patients – compliance and satisfaction

et al. 2013

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BackgroundSkeletally immature patients diagnosed with adolescent idiopathic scoliosis (AIS) and a Cobb angle above 25degrees is usually treated with a brace. Standard protocols in many centers include hospitalisation for a few days for the purpose of brace adaptation and fitting. The aim of this study is to compare compliance and satisfaction in hospitalization and out patient clinic protocols, at the initiation phase of brace treatment.Materials and methodsTwenty-four consecutive patients with AIS were initiated with the Providence night time only brace at our department between October 2008 and September 2009. The first twelve patients were admitted for a maximum of 3 days during the initiation phase of brace treatment. The following twelve patients were initiated in an outpatient clinic set-up. In this later group, patients and parents were informed about the possibility to be admitted to the hospital, at the initiation phase but all patients chose to be treated as out patient’s protocol. All patients were evaluated by means of conventional x-ray and patients reported outcome measurements. The mean follow up was 6 months for the outpatient group (3-8) and 12 months for the hospitalisation group (9-14). Scoliosis Quality of Life Index (SQLI) was used together with the Odense Scoliosis questionnaire, which was developed for this study. Compliance was measured using the patients’ own statements and the Landauer compliance scoring system.Findings/resultsThe two groups’ matches regarding the age, Risser grad, Cobb angle and primary correction. There were no statistically significant differences between the two groups regarding the SQLI and the Odense Scoliosis questionnaire. The compliance was higher in the ambulatory group.ConclusionOutpatient initiation of bracing in scoliosis seems to give the same correction but better compliance compared to initiation during hospitalization.

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“…But, for the reason of indirect force, the therapeutic efficacy was not ideal in many cases, and some cases are not suitable to be treated with bracing. Surgical treatment has achieved great advancements in correcting deformity, but it is not a choice for patients; when getting beautiful shapes, they have been deprived of partial functions and had rigid spines [12, 13]. …”

Section: Introductionmentioning

confidence: 99%

A Biomechanical Research of Growth Control of Spine by Shape Memory Alloy Staples

Zhang

Zheng

et al. 2013

BioMed Research International

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Shape memory alloy (SMA) staples in nickel titanium with shape memory effect are effective for spinal growth control. This study was designed to evaluate the biomechanical properties of the staples and observe the stability of the fixed segments spine after the staples were implanted. According to the vertical distance of the vertebrae, SMA staples of 5, 6.5, and 8 mm were designed. The recovery stress of 24 SMA staples in three groups was measured. The pullout strength of SMA staples and stainless steel staples in each functional spinal unit was measured. Each of the six fresh specimens was divided into three conditions: normal, single staple, and double staples. Under each condition, the angle and torque of spinal movements in six directions were tested. Results show that the differences in recovery stress and maximum pullout strength between groups were statistically significant. In left and right bending, flextion, and extention, the stability of spine was decreased in conditions of single staple and double staples. Biomechanical function of SMA staples was superior to stainless steel staple. SMA staples have the function of hemiepiphyseal compression and kyphosis and scoliosis model of thoracic vertebrae in goat could be successfully created by the fusionless technique.

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Use of the Rosenberger Brace in the Treatment of Progressive Adolescent Idiopathic Scoliosis

Abstract: The Rosenberger brace demonstrated an overall failure rate similar to untreated rates from published natural history studies, although subgroups of patients had lower failure rates. These findings suggest the need for further refinement of the indications for the Rosenberger brace.

Cited by 34 publications

References 47 publications

3D analysis of brace treatment in idiopathic scoliosis

3D analysis of brace treatment in idiopathic scoliosis

Comparison of in-and outpatients protocols for providence night time only bracing in AIS patients – compliance and satisfaction

A Biomechanical Research of Growth Control of Spine by Shape Memory Alloy Staples

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