Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35°

European spine journal

article

Ane Simony¹  Inge Beuschau¹  Lena Quisth¹  Stig Mindedahl Jespersen¹  Leah Yaccat Carreon¹  Mikkel Osterheden Andersen¹ 

[1] Sector for Spine Surgery and Research, Middelfart Hospital

关键词: Adolescent idiopathic scoliosis;    Providence nighttime bracing;    Conservative treatment;    In-brace correction;    Outcome;   

DOI  :  10.1007/s00586-019-06077-z

来源: Springer

【 摘 要 】

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  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. 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. 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. These slides can be retrieved under Electronic Supplementary Material.

【 授权许可】

Unknown