Clinical outcomes of bracing in adolescent idiopathic scoliosis
- VernacularTitle:青少年特发性脊柱侧凸的支具治疗
- Author:
Zezhang ZHU
;
Yong QIU
;
Bin WANG
- Publication Type:Journal Article
- Keywords:
Scoliosis;
Adolescence;
Braces;
Disease progression
- From:
Chinese Journal of Orthopaedics
2001;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
35? in 40. Risser sign was 0 in 38,Ⅰin 19,Ⅱin 13, and Ⅲ in 7. The standing AP X-ray films were obtained at intervals of 3 to 6 months. The Cobb's angle, the apical vertebral rotation and the Risser sign were measured at initial brace application and at the latest follow-up. Results With a follow-up of 24 to 60 months (mean, 30 months), 23 patients (29.9%) were judged as curve progression. Patients with double major curve were found to have the lowest percentage of curve progression, but there was no significant difference compared with other patterns of curves. The lower the Risser sign, the higher the initial brace correction rate and the percentage of curve progression. The difference of the initial brace correction rate was significant(P35?(P35?. 21 patients required surgical correction before completing bracing treatment because of curve progression, but in 13 of them, the surgical intervention was postponed about 12-20 months. Conclusion The Risser sign is a good predictor of bracing effect. Patients with double major curve have the lowest rate of treatment failure. The greater the amount of the Cobb's angle, the higher the percentage of curve progression. Bracing should be considered as successful if it can effectively reduce curve progression and postpone surgery.
