Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°
| العنوان: | Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35° |
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| المؤلفون: | Stig M. Jespersen, Leah Y. Carreon, Lena Quisth, Inge Beuschau, Ane Simony, Mikkel Østerheden Andersen |
| المصدر: | Simony, A, Beuschau, I, Quisth, L, Jespersen, S M, Carreon, L Y & Andersen, M O 2019, ' Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35° ', European Spine Journal, vol. 28, no. 9, pp. 2020-2024 . https://doi.org/10.1007/s00586-019-06077-z |
| بيانات النشر: | Springer Science and Business Media LLC, 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | musculoskeletal diseases, medicine.medical_specialty, Idiopathic scoliosis, Scoliosis, Adolescent idiopathic scoliosis, Providence nighttime bracing, 03 medical and health sciences, 0302 clinical medicine, Boston brace, Growth arrest, medicine, Orthopedics and Sports Medicine, In-brace correction, Outcome, 030222 orthopedics, business.industry, musculoskeletal system, equipment and supplies, medicine.disease, humanities, Bracing, Brace, Surgery, Conservative treatment, Neurosurgery, business, human activities, 030217 neurology & neurosurgery |
| الوصف: | Summary of Background Data: Since 2006, the Providence nighttime brace has been used for a conservative treatment for scoliosis. Previous studies comparing the outcomes after full-time bracing and nighttime bracing have reported a comparable outcome with curves < 35°. The aim of this study was to report the outcome after treatment in a cohort of adolescent idiopathic scoliosis patients, with curves between 20° and 45°. Methods: One hundred and twenty-four patients with adolescent idiopathic scoliosis were included in this study with Cobb > 20°, remaining growth potential and no previous scoliosis treatment. Providence nighttime treatment, 8 h nightly, was initiated. Treatment was continued until 2 years post-menarcheal for females and until 6-month growth arrest for males. The patients were evaluated using standing radiographs during treatment and 6 and 12 months after termination of bracing. Results: One hundred and twenty-four patients were included; 80 patients terminated brace treatment and were available for follow-up. Mean in-brace correction was 82%, and curve progression was observed in 9 patients. Brace treatment was success full in 89% of the patients, 88% of the patients braced with curves 20°–29°, 93% of the patients braced with 30°–39° and 77% of the patients braced with curves 40°–45°. Five of the 80 AIS patients were referred to surgery: 4 due to progression and 1 due to cosmetic concerns. Conclusions: Providence nighttime braces are an effective treatment for adolescent idiopathic scoliosis patients. This study reports a success rate of 89%, and the results are comparable to full-time treatment with the Boston brace. In-brace correction is crucial in part-time bracing, and we recommend at least 70% curve correction, if part-time bracing should be considered. Graphical abstract: These slides can be retrieved under Electronic Supplementary Material.[Figure not available: see fulltext.]. |
| تدمد: | 1432-0932 0940-6719 |
| DOI: | 10.1007/s00586-019-06077-z |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::365fe8ab9bc8e093cd93ff7513fcb58d https://doi.org/10.1007/s00586-019-06077-z |
| Rights: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....365fe8ab9bc8e093cd93ff7513fcb58d |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14320932 09406719 |
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| DOI: | 10.1007/s00586-019-06077-z |