Untitled

Gepstein, Reuven; Leitner, Yossi; Zohar, Edna; Angel, Itzach; Shabat, Shay; Pekarsky, Ilia; Friesem, Tye; Folman, Yoram; Katz, Amiram; Fredman, Brian

doi:10.1097/00004694-200201000-00018

Cited by 13 publications

(11 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, a comparison of bracing with electrostimulation showed a higher effectiveness of the former therapy [19]. A comparison of various braces (Charleston Bending Brace, Milwaukee) did not reveal a significant advantage of any of them [20-22]. Finally, recent Cochrane Database of Systematic Reviews publication revealed a low quality evidence in favour of using bracing [23].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Chêneau brace treatment for idiopathic scoliosis: prospective study in 79 patients followed to skeletal maturity

et al. 2011

View full text Add to dashboard Cite

BackgroundProgressive idiopathic scoliosis can negatively influence the development and functioning of 2-3% of adolescents, with health consequences and economic costs, placing the disease in the centre of interest of the developmental medicine. The aim of this study was to evaluate the effectiveness of Chêneau brace in the management of idiopathic scoliosis.MethodsA prospective observational study according to SOSORT and SRS recommendations comprised 79 patients (58 girls and 21 boys) with progressive idiopathic scoliosis, treated with Chêneau brace and physiotherapy, with initial Cobb angle between 20 and 45 degrees, no previous brace treatment, Risser 4 or more at the final evaluation and minimum one year follow-up after weaning the brace. Achieving 50° of Cobb angle was considered surgical recommendation.ResultsAt follow-up 20 patients (25.3%) improved, 18 patients (22.8%) were stable, 31 patients (39.2%) progressed below 50 degrees and 10 patients (12.7%) progressed beyond 50 degrees (2 of these 10 patients progressed beyond 60 degrees). Progression concerned the younger and less skeletally mature patients.ConclusionConservative treatment with Chêneau orthosis and physiotherapy was effective in halting scoliosis progression in 48.1% of patients. The results of this study suggest that bracing is effective in reducing the incidence of surgery in comparison with natural history.

show abstract

Section: Introductionmentioning

confidence: 99%

Effectiveness of Chêneau brace treatment for idiopathic scoliosis: prospective study in 79 patients followed to skeletal maturity

et al. 2011

View full text Add to dashboard Cite

show abstract

“…The Charleston brace is a nighttime-only bending brace that has been shown to be effective in controlling curve progression in multiple studies 8–12. Biomechanical analysis has shown that significant compressive stress relayed to the spine on the convexity of the scoliotic curve tensile stress on the concavity 13.…”

mentioning

confidence: 99%

Nighttime Bracing Versus Observation for Early Adolescent Idiopathic Scoliosis

Wiemann¹,

Shah²,

Price³

2014

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Background:Spinal bracing is widely utilized in patients with moderate severity adolescent idiopathic scoliosis with the goal of preventing curve progression and therefore preventing the need for surgical correction. Bracing is typically initiated in patients with a primary curve angle between 25 and 40 degrees, who are Risser sign 0 to 2 and <1-year postmenarchal. The purpose of this study is to determine whether nighttime bracing using a Charleston bending brace is effective in preventing progression of smaller curves (15 to 25 degrees) in skeletally immature, premenarchal female patients relative to current standard of care (observation for curves <25 degrees).Methods:Premenarchal, Risser 0 female patients presenting to 2 pediatric orthopaedic specialty practices for evaluation of idiopathic scoliosis with Cobb angle measurements between 15 and 25 degrees were selected. They were randomized by location to receive nighttime bending brace treatment or observation. Patients in the observation group were converted to fulltime TLSO wear if they progressed to >25 degrees primary curve Cobb angle. Curve progression was monitored with minimum 2-year follow-up.Results:Sixteen patients in the observation group and 21 patients in the bracing group completed 2-year follow-up. All patients in the observation group progressed to fulltime bracing threshold. In the nighttime bracing group, 29% of the patients did not progress to 25 degrees primary curve magnitude. Rate of progression to surgical magnitude was similar in the 2 groups.Conclusions:Risser 0 patients presenting with mild idiopathic scoliosis are at high risk for progression to >25 degrees primary curve magnitude. Treatment with the Charleston nighttime bending brace may reduce progression to full-time bracing threshold. No difference in progression to surgical intervention was shown between nighttime bracing and observation for small curves.Level of Evidence:Level II—therapeutic study (prospective comparative study).

show abstract

“…also found that the TLSO was superior at preventing curve progression when compared with the Charleston brace 49. Gepstein et al .,50 however, found no statistical difference in the surgery rate of 13.5% using the TLSO when compared with surgery rate of 11% using the Charleston brace 50. Similarly, Janicki et al .…”

Section: Brace Typesmentioning

confidence: 95%

“…Hooper and Reed6464752 collaborated in 1978 on the early development of this new side-bending brace for nocturnal wear 174647495052. The orthosis is asymmetrical and fights against the body’s curve by over-correcting the deformity.…”

Section: Brace Typesmentioning

confidence: 99%

See 1 more Smart Citation

Adolescent idiopathic scoliosis: Indications and efficacy of nonoperative treatment

Canavese

Kaelin

2011

IJOO

View full text Add to dashboard Cite

The strategy for the treatment of idiopathic scoliosis depends essentially upon the magnitude and pattern of the deformity, and its potential for progression. Treatment options include observation, bracing and/or surgery. During the past decade, several studies have demonstrated that the natural history of adolescent idiopathic scoliosis can be positively affected by nonoperative treatment, especially bracing. Other forms of conservative treatment, such as chiropractic or osteopathic manipulation, acupuncture, exercise or other manual treatments, or diet and nutrition, have not yet been proven to be effective in controlling spinal deformity progression, and those with a natural history that is favorable at the completion of growth. Observation is appropriate treatment for small curves, curves that are at low risk of progression, and those with a natural history that is favorable at the completion of growth. Indications for brace treatment are a growing child presenting with a curve of 25°–40° or a curve less than 25° with documented progression. Curves of 20°–25° in patients with pronounced skeletal immaturity should also be treated. The purpose of this review is to provide information about conservative treatment of adolescent idiopathic scoliosis. Indications for conservative treatment, hours daily wear and complications of brace treatment as well as brace types are discussed.

show abstract

Untitled

Cited by 13 publications

References 9 publications

Effectiveness of Chêneau brace treatment for idiopathic scoliosis: prospective study in 79 patients followed to skeletal maturity

Effectiveness of Chêneau brace treatment for idiopathic scoliosis: prospective study in 79 patients followed to skeletal maturity

Nighttime Bracing Versus Observation for Early Adolescent Idiopathic Scoliosis

Adolescent idiopathic scoliosis: Indications and efficacy of nonoperative treatment

Contact Info

Product

Resources

About