Li Haixia,Wu Jigong,Song Lizhi,et al.Title Clinical study of brace in the treatment of progressive early-onset scoliosis[J].Journal of Clinical Pediatric Surgery,,20():24-28.[doi:10.12260/lcxewkzz.2021.01.005]
Title Clinical study of brace in the treatment of progressive early-onset scoliosis
- Keywords:
- Scoliosis/SU; Scoliosis/CN; Stents; Spine/GD
- CLC:
- R726.8;R682.3
- Abstract:
- Objective To analyze the deformity development of early onset scoliosis (EOS) after conservative treatment with brace,and to explore the effect of brace in this kind of patients.Methods 19 children with EOS,12 males and 7 females were retrospectively analyzed,all patients had been treated with brace for at least 2 years and had complete imaging data.According to the follow-up results,the patients were divided into effective group and ineffective group,10 or more degrees improvement in Cobb angle from baseline was defined to be effective,otherwise,the treatment was ineffective.Anterior and lateral radiographs of the whole spine in standing position before the brace,after the first brace and at the last follow-up were available.The coronal and sagittal deformity angles and balance were measured.Results The average Cobb angle of 19 patients before treatment was 40±10.4 degrees (20-55 degrees),The main Cobb angle was corrected to 28.15±14.78 degrees in first bracing,and 31.63±18.04 degrees after brace removal at latest follow-up.The Cobb angle after the first brace and at the last follow-up were significantly corrected (P<0.05).The chest width and height of thoracic vertebrae in both groups were significantly increased at the last follow-up.Patients diagnosed as idiopathic early-onset scoliosis tend to have a better result compared to congenital scoliosis (P<0.05),and those with the apical vertebra located in thoracolumbar or lumbar also reached a significantly satisfied improvement than that in thoracic (P<0.05),even though with a similar initial Cobb angle,sex,age of initial treatment,and the duration of follow up.The Cobb angle correction has no significant difference between the two groups at initial bracing (P>0.05),whereas,differences were apparent at the latest follow-up(P<0.05).Conclusion For patients of progressive early-onset scoliosis,Bracing is an efficient nonsurgical alternative,some of them can be cured,if not,eventual surgical intervention can be delayed for a period of time without restrictions on thoracic.
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Memo
收稿日期:2021-01-06。
基金项目:首都临床诊疗技术研究及示范应用（编号：Z191100006619057）
通讯作者:吴继功,Email:docwjg@126.com