A Comparison Between the Boston Brace and the Charleston Bending Brace in Adolescent Idiopathic Scoliosis

Katz, Donald E.; Richards, B. Stephens; Browne, Richard; Herring, John A.

doi:10.1097/00007632-199706150-00005

Cited by 146 publications

(94 citation statements)

References 28 publications

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“…Some authors [21] evaluated the effectiveness of performing personality tests for patients with idiopathic scoliosis who underwent brace therapy and concluded that these tests are useful for evaluating psychological effects and ensuring continuation of therapy minimizing patient dropout.…”

Section: Discussionmentioning

confidence: 99%

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Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

et al. 2006

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Bracing is the most effective non-operative treatment for mild progressive spinal deformities in adolescence but it has shown a considerable impact on several aspects of adolescents' functioning. This crosssectional study investigated the self-perceived health status of adolescents with the two most common deformities, treated with body orthosis. Seventy-nine adolescents with spinal deformities (idiopathic adolescent scoliosis, thoracic Scheuermann kyphosis) and 62 adolescents without spinal deformities were asked to complete the Quality of Life profile for Spine Deformities Instrument. This study showed that adolescents with deformities are significantly less likely to have back pain in training than controls, but more likely to have difficulty in forward bending, and in the most common daily activities while in brace. These individuals claim they wake up because of back pain and feel quite nervous with the external appearance of their body. These patients face often problems with their relations with friends, while they reported difficulties in getting up from bed and sleep at night more often than their counterparts without deformities. As they grow older, patients feel increasing ashamed of their body, as they are more concerned about the future effect of the deformity on their body. As the bracing time increases, patients have much more probability than controls to get low back pain. Girls with deformity have a higher probability than boys to get low back pain while working in the house and while training. Individuals with larger spinal curvatures have more difficulties in bending and increased incidence of back pain than their counterparts with smaller curvatures. Psychological reasons associated mainly with relations at school and back pain are the main causes for low compliance in adolescents with spinal deformities treated with body orthosis. Careful instructions for all individuals who will undergo brace therapy, psychological support for all patients who develop psychological reactions and physical training particularly for older girls should be recommended to increase bracing compliance.

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Section: Discussionmentioning

confidence: 99%

“…Bracing has been established as the most effective nonoperative treatment for adolescences with mild idiopathic scoliosis and Scheuermann kyphosis [21,29].…”

Section: Introductionmentioning

confidence: 99%

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

et al. 2006

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“…They concluded the Wilmington brace favorably altered the natural history of 20°to 39°V curves. Katz et al [25] reviewed 51 patients who had average curves sizes of 36°to 45°treated with the Boston brace. Treatment was successful in 61% of patients, although 16% progressed more than 5°and 31% required surgery.…”

Section: Bracing Efficacymentioning

confidence: 99%

“…Likewise, the probability brace treatment will prevent curve progression is inversely proportional to the initial size of the curve [11,25,30]. Although brace treatment limits curve progression for curves larger than 35°, success has been less predictable compared with curves between 20°and 35° [1,11,25,30].…”

Section: Bracing Difficultiesmentioning

confidence: 99%

Brace Management in Adolescent Idiopathic Scoliosis

Schiller

Thakur

Eberson

2010

Clinical Orthopaedics &Amp; Related Research

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Skeletally immature patients with adolescent idiopathic scoliosis are at risk for curve progression. Although numerous nonoperative methods have been attempted, including physical therapy, exercise, massage, manipulation, and electrical stimulation, only bracing is effective in preventing curve progression and the subsequent need for surgery. Brace treatment is initiated as either full-time (TLSO, Boston) or nighttime (Charleston, Providence) wear, although patient compliance with either mode of bracing has been a documented problem. We review the natural history of adolescent idiopathic scoliosis, identify the risks for curve progression, describe the types of braces available for treatment, and review the indications for and efficacy of brace treatment.

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“…Several uncontrolled retrospective case series of braced patients have been published; those reporting surgical rates demonstrate widely varying outcomes ranging from 7% to 43%. [10][11][12][13][14][15][16][17][18][19][20][21][22] Two studies have simultaneously compared untreated and braced curves. 2,3 Fernandez-Feliberti et al 2 reported a 26% surgery rate in the braced cases compared with 38% in the observed cases.…”

mentioning

confidence: 99%

Professional Opinion Concerning the Effectiveness of Bracing Relative to Observation in Adolescent Idiopathic Scoliosis

Dolan

Donnelly²,

Spratt³

et al. 2007

Journal of Pediatric Orthopaedics

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Objective-To determine if community equipoise exists concerning the effectiveness of bracing in adolescent idiopathic scoliosis.Background Data-Bracing is the standard of care for adolescent idiopathic scoliosis despite the lack of strong reasearch evidence concerning its effectiveness. Thus, some researchers support the idea of a randomized trial, whereas others think that randomization in the face of a standard of care would be unethical.

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A Comparison Between the Boston Brace and the Charleston Bending Brace in Adolescent Idiopathic Scoliosis

Abstract: When given the choice between these two orthoses in the treatment of adolescent idiopathic scoliosis, the authors recommend use of the Boston brace. The Charleston brace should be considered only in the treatment of smaller single thoracolumbar or single lumbar curves.

Cited by 146 publications

References 28 publications

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace

Brace Management in Adolescent Idiopathic Scoliosis

Professional Opinion Concerning the Effectiveness of Bracing Relative to Observation in Adolescent Idiopathic Scoliosis

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