Use of the Rosenberger brace in the treatment of progressive adolescent idiopathic scoliosis

Spine
Mark J SpoonamoreStuart L Weinstein

Abstract

Retrospective chart review. To evaluate the efficacy of the Rosenberger thoracic lumbar sacral orthosis in preventing curve progression in adolescent idiopathic scoliosis. Radiographic outcomes of patients using the Rosenberger thoracic lumbar sacral orthosis have never been reported in the literature, but reports of other thoracic lumbar sacral orthoses conflict concerning the ability braces to improve on the natural history of adolescent idiopathic scoliosis. Seventy-one patients with progressive adolescent idiopathic scoliosis treated with the Rosenberger were evaluated at an average of 2.3 years following brace discontinuation. Initial curves averaged 29 degrees. Braces were prescribed for 16 to 20 hours per day and worn for an average of 3.2 years. Patients were between 9 and 16 years of age, and all were skeletally immature at the time of bracing. Twenty-one patients (30%) underwent instrumentation and arthrodesis despite bracing. Forty (56%) had more than 5 degrees of progression. Overall, 43 (61%) had surgery and/or progressed by the time of follow-up. The average curve correction was 33% in patients who did not have surgery and 21% in those patients who did (P < 0.04). Other significant factors associated with brace fa...Continue Reading

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Citations

Aug 24, 2012·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·Xu SunYong Qiu
Jul 3, 2013·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·Aurélien CourvoisierWafa Skalli
May 10, 2008·Disability and Rehabilitation. Assistive Technology·Christine CoillardCharles H Rivard
May 6, 2008·Lancet·Stuart L WeinsteinJose A Morcuende
Oct 20, 2007·The Orthopedic Clinics of North America·William J Shaughnessy
Dec 19, 2013·BioMed Research International·Wei ZhangYan Wang
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Donald E KatzJohn G Birch
Feb 6, 2018·The Open Orthopaedics Journal·Shu-Yan NgNico Tournavitis
Feb 13, 2018·Scoliosis and Spinal Disorders·Stefano NegriniFabio Zaina
Jun 19, 2015·The Cochrane Database of Systematic Reviews·Stefano NegriniFabio Zaina
Jun 6, 2018·Journal of Clinical Medicine·Hiroshi Kuroki
Dec 31, 2020·Bioengineering·Athar AliWerner Schmölz

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