지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 437 - 444 (8page)
- DOI
- 10.14245/ns.2040654.327
이용수
초록· 키워드
오류제보하기
Objective: To evaluate the effect of Milwaukee brace treatment on adolescents with idiopathic scoliosis (AIS) with large curves (40° to 55°) who refuse to do surgery.
Methods: In this retrospective cohort study, we gathered the clinical records of all adolescents with AIS with an initial curve of 40° to 55°. They had been referred to our center from December 1990 to January 2017. Although they had been advised to do surgery, they had all refused to do it. Their clinical data were recorded, such as sex, age, Risser sign, scoliosis, and kyphosis curve magnitude (at the beginning of brace treatment, weaning time, brace discontinuation, and minimum of 2 years after the treatment). Based on treatment success, the patients were divided into 2 groups: progressed and nonprogressed.
Results: Sixty patients with an average initial Cobb angle of 44.93°±4.86° were included. The curve progressed in 57%, stabilized in 25%, and improved in 18% of the patients. In the progressed group (34 patients), 31 patients had undergone surgery. There was no significant association between the age of beginning the brace treatment and the final Cobb angle of nonprogressed group (p>0.05). However, in-brace correction and initial Risser sign had a significant correlation with curve magnitude at the final follow-up (p<0.05).
Conclusion: Brace treatment seems to be effective in controlling the further curve progression in AIS with 40° and 55° curves. Our results can help physicians make sound decisions about the patients with larger curves who refuse to do surgery.
목차
등록된 정보가 없습니다.
참고문헌 (33)
참고문헌 신청
Konieczny MR / 2013 / Epidemiology of adolescent idiopathic scoliosis / J Child Orthop 7:3~9
Weinstein SL / 2013 / Effects of bracing in adolescents with idiopathic scoliosis / N Engl J Med 369:1512~1521
Rowe DE / 1997 / A meta-analysis of the efficacy of non-operative treatments for idiopathic scoliosis / J Bone Joint Surg Am 79:664~674
Richards BS / 2005 / Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management / Spine 30:2068~2075
Negrini S / 2012 / SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth / Scoliosis 7:3
Weinstein SL / 2013 / Effects of bracing in adolescents with idiopathic scoliosis / N Engl J Med 369:1512~1521
Rowe DE / 1997 / A meta-analysis of the efficacy of non-operative treatments for idiopathic scoliosis / J Bone Joint Surg Am 79:664~674
Richards BS / 2005 / Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management / Spine 30:2068~2075
Negrini S / 2012 / SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth / Scoliosis 7:3
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