Abstract
Methods We have carried out a prospective study of 197 adolescents (mean age 11.8 ± 0.5 years) treated from 1993 to 2012 with thoracolumbar and lumbar curve and a pretreatment Risser scores ranging from 0 to 2. To evaluate the effectiveness of treatment and standardize the results, SRS criteria were used. All patients were prescribed a full-time PASB. The minimum duration of follow-up was 24 months. Anteroposterior radiographs were used to estimate the curve magnitude (CM) and the torsion of the apical vertebra (TA) at five time points: beginning of treatment (t1), one year after the beginning of treatment (t2), intermediate time between t1 and t4 (t3), end of weaning (t4), and 2-year minimum follow-up from t4 (t5). Three outcomes were distinguished: curve correction, curve stabilization and curve progression. Statistical analyses were performed with GraphPad Prism 6.
Highlights
The effectiveness of conservative treatment of scoliosis is controversial
The purpose of this study was to confirm the effectiveness of PASB in the correction of thoracolumbar and lumbar curves, in agreement with the SRS Committee on Bracing and Nonoperative Management Standardization Criteria in a prospective study
We have carried out a prospective study of 197 adolescents treated from 1993 to 2012 with thoracolumbar and lumbar curve and a pretreatment Risser scores ranging from 0 to 2
Summary
The effectiveness of conservative treatment of scoliosis is controversial. We have demonstrated the effectiveness of PASB in correcting and holding thoracolumbar and lumbar curves. Several papers have recently been published on adolescent idiopathic scoliosis in agreement with SRS criteria; none of them was prospective. Purpose The purpose of this study was to confirm the effectiveness of PASB in the correction of thoracolumbar and lumbar curves, in agreement with the SRS Committee on Bracing and Nonoperative Management Standardization Criteria in a prospective study
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