PMID: 7334090Jan 1, 1981Paper

Miami TLSO in the management of scoliosis: preliminary results in 100 cases

Journal of Pediatric Orthopedics
N C McColloughL Latta

Abstract

A custom fabricated polypropylene thoraco-lumbo-sacral orthosis (TLSO) for the treatment of scoliotic curves with an apical vertebrae of T7 or below is described, and the results in 100 patients treated over a 5 year period are reported. The average follow-up for all cases was 13 months, the longest being 59 months. Average initial correction in brace for thoracic curves was 36%, for thoraco-lumbar curves 56%, and for lumbar curves 63%. Double major curves averaged 38% initial correction for the upper curves and 37% for the lower curves. Twenty cases had completed brace treatment with an average follow-up of 8 months out of brace. Of the 30 curves in the 20 patients, 11 were improved more than 5 degrees, 19 remained unchanged (+5 degrees), and none had progressed more than 5 degrees. Twenty-three percent of the patients required a second orthosis and complications occurred in only two patients. The primary advantages of this TLSO include improved cosmesis, minimal discomfort, excellent provision for heat exchange, minimal confinement of the thoracic cage, and maximum retention of spinal mobility.

Citations

Oct 11, 2007·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·Gerben J BulthuisGert Nijenbanning
Dec 1, 2007·Journal of Children's Orthopaedics·Wudbhav N SankarDavid L Skaggs
Mar 24, 2017·Scoliosis and Spinal Disorders·Manuel Rigo, Mina Jelačić
Jan 1, 1989·Journal of the Association of Pediatric Oncology Nurses·W W Robertson
Oct 1, 1988·Acta Orthopaedica Scandinavica·J PeltonenM Ylikoski
Aug 1, 1994·The Journal of Bone and Joint Surgery. American Volume·J E Lonstein, R B Winter
Feb 1, 1991·Developmental Medicine and Child Neurology·E E Bleck
Sep 3, 2004·The Journal of Bone and Joint Surgery. American Volume·Peter G GabosLillian Rich

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