Nighttime Bracing for Adolescent Idiopathic Scoliosis with the Charleston Bending Brace: Long-Term Follow-up

Price, Charles T.; Scott, Donald S.; Reed, Frederick R.; Sproul, Jack T.; Riddick, Max F.

doi:10.1097/01241398-199711000-00002

Cited by 57 publications

(58 citation statements)

References 16 publications

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“…However, part-time bracing studies using the Providence and Charleston brace have also been compared with full-time bracing models with equivalent or superior results (Table 2) [19]. Price et al [39] reported the results with the Charleston brace in 98 patients in which 63% had excellent results and, overall, 85% curves had acceptable results. Curve correction was 87% for major curves and 33% for compensatory/secondary curves.…”

Section: Bracing Efficacymentioning

confidence: 99%

“…Brace treatment for idiopathic scoliosis in the skeletally immature child remains the only effective modality limiting curve progression and the potential need for surgical intervention [1,11,12,32,39,43]. Current recommendations from the SRS include the initiation of brace treatment in skeletally immature patients who present with curves greater than 30°on initial presentation or in patients who progress greater than 10°to a magnitude greater than 25° [ 42].…”

Section: Treatment Recommendationsmentioning

confidence: 99%

“…Current recommendations from the SRS include the initiation of brace treatment in skeletally immature patients who present with curves greater than 30°on initial presentation or in patients who progress greater than 10°to a magnitude greater than 25° [ 42]. Braces are usually worn 18 to 23 hours a day, although evidence exists demonstrating the effectiveness part-time or nighttime bracing to address patient compliance issues [7,11,16,39,43]. Part-time or nighttime bracing (Charleston, Providence) may be effective for curves less than 35°; however, curves greater than 35°o ften require full-time bracing to reliably limit curve progression.…”

Section: Treatment Recommendationsmentioning

confidence: 99%

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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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Section: Bracing Efficacymentioning

confidence: 99%

Section: Treatment Recommendationsmentioning

confidence: 99%

Section: Treatment Recommendationsmentioning

confidence: 99%

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Brace Management in Adolescent Idiopathic Scoliosis

Schiller

Thakur

Eberson

2010

Clinical Orthopaedics &Amp; Related Research

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“…The brace is then fabricated from rigid plastic from this mold. Reduction forces generated by this side-bending design result in greater in-brace correction than a traditional TLSO; consequently, brace wear of 8 to 10 hours is all that is considered necessary [47]. Despite this reduced wear schedule, patient compliance is sometimes compromised because of discomfort caused by the aggressive stretching required to achieve correction.…”

Section: Charleston Bracementioning

confidence: 99%

“…Because adolescent idiopathic scoliosis (AIS) progresses in children who are still rapidly growing, surgeons were then more accurately able to identify children who would benefit most from treatment. Risser staging continues to be important in the evaluation of the child with scoliosis, though its poor ability to predict the period of peak spinal growth has led to the development and use of alternative radiographic staging systems of skeletal maturity [47,48].…”

Section: Premodern Eramentioning

confidence: 99%

A History of Bracing for Idiopathic Scoliosis in North America

Fayssoux

Cho

Herman

2010

Clinical Orthopaedics &Amp; Related Research

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The care of the patient with scoliosis has a history extending back over two millennia with cast and brace treatment being a relatively recent endeavor, the modern era comprising just over half a century. Much of the previous literature provides a modest overview with emphasis on the history of the operative management. To better understand the current concepts of brace treatment of scoliosis, an appreciation of the history of bracing would be helpful. As such, we review the history of the treatment of scoliosis with an emphasis on modern brace treatment, primarily from a North American perspective. Our review utilizes consideration of historical texts as well as current treatises on the history of scoliosis and includes discussion of brace development with their proponents' rationale for why they work along with an appraisal of their clinical outcomes. We provide an overview of the current standards of care and the braces typically employed toward that standard including: the Milwaukee brace, the Wilmington brace, the Boston brace, the Charleston brace, the Providence brace and the SpineCor brace. Finally, we discuss future trends including improvements in methods of determining the critical period of peak growth velocity in children with scoliosis, the exciting promise of gene markers for progressive scoliosis and ''internal bracing'' options.

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Braces for idiopathic scoliosis in adolescents

Négrini

Minozzi

Bettany‐Saltikov

et al. 2010

Cochrane Database of Systematic Reviews

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There is very low quality evidence in favour of using braces, making generalization very difficult. Further research could change the actual results and our confidence in them; in the meantime, patients' choices should be informed by multidisciplinary discussion. Future research should focus on short and long-term patient-centred outcomes, in addition to measures such as Cobb angles. RCTs and prospective cohort studies should follow both the Scoliosis Resarch Society (SRS) and Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) criteria for bracing studies.

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Nighttime Bracing for Adolescent Idiopathic Scoliosis with the Charleston Bending Brace: Long-Term Follow-up

Cited by 57 publications

References 16 publications

Brace Management in Adolescent Idiopathic Scoliosis

Brace Management in Adolescent Idiopathic Scoliosis

A History of Bracing for Idiopathic Scoliosis in North America

Braces for idiopathic scoliosis in adolescents

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