Miami TLSO in the Management of Scoliosis

McCollough, Newton C.; Schultz, Mark; Javech, Nestor; Latta, Loren L.

doi:10.1097/01241398-198110000-00004

Cited by 30 publications

(12 citation statements)

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“…Rinsky and Gamble [14] cite two papers [125,126] in support of the following statement: 'Exercise alone does not halt the advance of progressive scoliosis. .…”

Section: Published Evidence Against Exercises As Treatment For Scoliosismentioning

confidence: 92%

“…Though there is a natural tendency to ''do something'' there is no proof that prescribed exercises help, even if done on a regular supervised basis'. The paper by McCollough et al [125] deals with the use of bracing in scoliosis therapy. Exercises were not a part of the treatment regime, in keeping with their stated opinion: 'The authors do not believe that exercises influence the course of scoliotic spine deformity' (p. 145).…”

Section: Published Evidence Against Exercises As Treatment For Scoliosismentioning

confidence: 99%

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The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Hawes¹

2003

Pediatric Rehabilitation

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The loss of flexibility in a spinal curvature defines it as a structural spinal deformity; a curvature sufficiently mobile to resolve with a change in posture is a non-structural or 'functional' scoliosis which is within the normal limits of movement for a human spine. It, therefore, seems logical that exercise-based therapies designed to improve and/or maintain flexibility and range of motion of the spine and thorax would be useful in the treatment of scoliosis. Recognition of the importance of maintaining flexibility of the thoracic spinal column to avoid scoliosis-associated pulmonary dysfunction made the use of exercise-based therapies a topic of clinical interest in ancient Greece. In recent years, successful prevention of polio epidemics has resulted in a stable change in patient populations such that most individuals diagnosed with scoliosis do not suffer from irreversible central nervous system compromise. As a result, realistic opportunities to examine the role of exercise in treatment of scoliosis are available for the first time in history. A growing body of evidence from independent sources is consistent with the hypothesis that exercise-based approaches can be used effectively to reverse the signs and symptoms of spinal deformity and to prevent progression in children and adults.

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“…Rinsky and Gamble [14] cite two papers [125,126] in support of the following statement: 'Exercise alone does not halt the advance of progressive scoliosis. .…”

Section: Published Evidence Against Exercises As Treatment For Scoliosismentioning

confidence: 92%

Section: Published Evidence Against Exercises As Treatment For Scoliosismentioning

confidence: 99%

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Hawes¹

2003

Pediatric Rehabilitation

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“…Although the use of spinal orthoses is controversial in the treatment of scoliosis, studies have shown that patient compliance, wear time of the brace, and the degree of inbrace correction can all influence the overall effectiveness of a bracing program [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. Although CAD/CAM technology has recently been used to fabricate TLSOs for scoliosis, we are aware of only one previous study which directly compares CAD/CAM and standard plaster molded TLSOs in terms of some of these factors.…”

Section: Discussionmentioning

confidence: 99%

“…Although the US preventive task force has concluded that bracing is not effective based on the lack of level-one data, several reports have concluded that bracing can be successful in halting curve progression in compliant patients [1][2][3][4][5][6][7][8][9][10][11][12][13][14]. To help settle this controversy, the Scoliosis Research Society has recently developed guidelines for future brace studies to standardize the inclusion and exclusion criteria to determine exactly how effective braces are in the treatment of scoliosis [15].…”

Section: Introductionmentioning

confidence: 99%

Scoliosis in-brace curve correction and patient preference of CAD/CAM versus plaster molded TLSOs

Sankar

Albrektson

Lerman

et al. 2007

Journal of Children's Orthopaedics

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Purpose CAD/CAM technology is a newer technique for creating spinal orthoses than standard plaster molded methods. To our knowledge there has been only one previous study of CAD/CAM braces. The purpose of our study was to compare patient preference and in-brace correction of Cobb angle between plaster molded thoracolumbosacral orthoses (TLSO) and CAD/CAM designed TLSOs in a series of patients with scoliosis. Methods Ten patients with an average initial Cobb angle of 30.8°(range 18°-46°) had both a plaster molded TLSO and a CAD/CAM TLSO fabricated for them. In each case, the decision to brace was made by the treating surgeon based on curve magnitude and skeletal maturity. After 3 weeks of 23 h a day wear, in-brace correction of the Cobb angle was measured for each brace based on standard PA spine radiographs. After 3 months of use, patients were asked which brace they preferred. Results For the CAD/CAM brace, the mean curve correction after 3 months was 51% compared to 44% in the plaster molded TLSO cohort. (p = 0.46). Seven out of nine patients preferred the CAD/CAM TLSO over the plaster molded TLSO. There were no brace complications in either group. Conclusion In our matched cohort study, CAD/CAM TLSOs had at least equivalent if not superior correction of the Cobb angle compared to standard plaster molded TLSOs; 78% of our patients preferred the CAD/CAM brace over the standard TLSO.

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“…Le traitement d'une scoliose ne peut pas avoir l'ambition d'Stre curatif mais r6pond essentiellement h un concept de pr6vention en contenant une courbure pour lui 6viter d'atteindre les domaines chirurgicaux [5,12]. Ainsi les campagnes de d6pistage et les traitements orthop6diques avec mise en place de pl~tres ou de corsets ont essentiellement pour but d'6viter le recours h la chirurgie et les complications h l'~tge adulte.…”

Section: Attitude Thdrapeutiqueunclassified

Scolioses idiopathiques et congénitales

Karger

1992

Orthop Traumatol

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Miami TLSO in the Management of Scoliosis

Cited by 30 publications

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The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature

Scoliosis in-brace curve correction and patient preference of CAD/CAM versus plaster molded TLSOs

Scolioses idiopathiques et congénitales

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