Effectiveness of the Charleston night-time bending brace in the treatment of adolescent idiopathic scoliosis

Journal of Pediatric Orthopedics
Choon Sung LeeDong-Ho Lee

Abstract

Part-time or night-time bracing has been introduced to address the poor compliance and psychological burden of full-time bracing. The results of various bracing methods vary, however, due to a lack of consistent inclusion criteria and definitions of brace effectiveness. We have evaluated the effectiveness of the Charleston night-time bending brace in the treatment of adolescent idiopathic scoliosis based on the new standardized criteria proposed by the Scoliosis Research Society. To be included in this study, patients met the following criteria proposed by the Scoliosis Research Society: diagnosis of adolescent idiopathic scoliosis, age 10 years and older when the orthosis was prescribed, Risser 0-2, a primary curve magnitude of 25 to 40 degrees, and no prior treatment. A total of 95 patients (87 girls, 8 boys) were included. At skeletal maturity, 80 patients (84.2%) had 5 degrees or less curve progression and 15 (15.8%) had 6 degrees or more progression. Seven patients (7.8%) were recommended to undergo or underwent surgery before skeletal maturity. Eleven patients (12.6%) progressed beyond 45 degrees. According to these 3 criteria, the Charleston night-time brace was successful in 74 patients (77.9%). Depending on curve type,...Continue Reading

References

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Citations

May 9, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Sébastien RauxKariman Abelin-Genevois
Mar 31, 2015·Scoliosis·Toru MaruyamaYusuke Nakao
Jun 28, 2019·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Asliza AhmadNahrizul Adib Kadri
Sep 13, 2013·Spine·Stuart L WeinsteinMatthew B Dobbs
Nov 7, 2019·Clinical Orthopaedics and Related Research·Jason Pui Yin CheungLawrence Chi Kwan Chan
Jul 9, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Jaime A GomezMichael P Glotzbecker
Jun 6, 2018·Journal of Clinical Medicine·Hiroshi Kuroki
Jul 10, 2019·Journal of Orthopaedic Surgery·Søren Ohrt-NissenMartin Gehrchen
Dec 31, 2020·Bioengineering·Athar AliWerner Schmölz

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