Abstract
Background: The high incidence of idiopathic scoliosis worldwide as well as the serious health problems it can cause in adulthood, make it necessary to seek effective treatments to prevent the progression of the disease to more aggressive treatments such as surgery and improve patients’ quality of life. The use of night braces, besides a less severe influence on the patient’s quality of life, is effective in stopping the progression of the curve in idiopathic scoliosis. Methods: A longitudinal study was performed with an experimental population of 108 participants who attended orthotic treatment at the University Hospital of Barcelona, with ages between 4 and 15 years old, with a main curvature greater than 25 degrees and a Risser between 0 and 3. The participants received treatment with Providence ISJ-3D night braces until their pubertal change (mean duration of 2.78 years for males and 1.97 years for females). Results: The implementation of night-time orthotic treatment in children with idiopathic scoliosis is effective in slowing the progression of the curve and in the prevention of more aggressive treatments such as surgery, maintaining the patient’s quality of life. Conclusions: The use of night braces is efficacious in the treatment of idiopathic scoliosis, although new studies including more sociodemographic data as well as curves from 20 degrees of progression are necessary.
Highlights
Idiopathic scoliosis, with a worldwide incidence ranging from 0.47% to 5.2% [1], is the most common type of scoliosis in children and adolescents during their growth phase, without an apparent cause
A non-controlled clinical trial was designed with a single intervention group (n = 108), whose study population was made up of all patients of both sexes, aged between 4 and 15 years, who during the development of the study attended the Orthopedic Surgery and Traumatology Outpatient Service of the University Hospital (Barcelona, Spain), and who met the following inclusion criteria: they had been diagnosed with idiopathic scoliosis, had a main curvature greater than 25◦ (the upper limit of curvature included in the study is 47 degrees (n = 1), and three other users had 44 degrees), with a Risser’s sign of 0 to 3, and had not previously received any surgical treatment
A total of 108 participants received treatment with the ISJ-3D Night Brace, which they had to wear between 8 and 10 h a night (M = 9.25 h; SD ± 2.18) every day until reaching Risser 4 in the girls and Risser 5 in the boys, which would establish the end of the treatment
Summary
Idiopathic scoliosis, with a worldwide incidence ranging from 0.47% to 5.2% [1], is the most common type of scoliosis in children and adolescents during their growth phase, without an apparent cause. It is defined as any deformity of the spine characterized by a lateral deviation greater than 10 degrees (Cobb angle) [2] combined with a spinal rotation and generally associated with a hypociphosis. Conclusions: The use of night braces is efficacious in the treatment of idiopathic scoliosis, new studies including more sociodemographic data as well as curves from 20 degrees of progression are necessary
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