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How to Improve Aesthetics in Patients with Adolescent Idiopathic Scoliosis (AIS): a SPoRT Brace Treatment According to SOSORT Management Criteria

Overview
Journal Scoliosis
Publisher Biomed Central
Date 2009 Sep 3
PMID 19723337
Citations 4
Authors
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Abstract

Background: Aesthetics is a main goal of both conservative and surgical treatments in adolescent idiopathic scoliosis (AIS). Previously, we developed and validated a clinical scale - the Aesthetic Index (AI)--in order to measure aesthetic impairment and changes during treatment.

Aim: To verify the efficacy of bracing on aesthetics in AIS.

Study Design: Prospective Cohort Study.

Population: Thirty-four consecutive patients, age 13.2 +/- 3.7, initial Cobb Angle 32 +/- 12 degrees , ATR 10 +/- 4 degrees Bunnel, 11 males.

Methods: Patients with AI scores of at least 5/6 were included. Each of them had a brace prescription (18 to 23 hours per day), according to the SPoRT concept. AI was measured again after six months and at the end of treatment, and then the pre- and post-treatment scores compared. The Wilcoxon test was performed.

Results: Twenty-nine patients out of the 34 included completed the treatment and had six-month and final results; four patients were lost during the treatment, and one was fused. At baseline, median AI was 6 (95% IC 5-6) but the score decreased to 3 (95% IC 0-5; p < 0.05) after six months with brace, and this value was maintained in the 29 who completed the treatment (95% IC 1-6; p < 0.05 with respect to the baseline).

Conclusion: Aesthetics can be improved in a clinically significant way when the brace treatment is performed according to the SPoRT concept and by following the SOSORT management criteria. This is a relevant result for patients and a major goal of scoliosis treatment, be it conservative or surgical. The use of a more sensitive tool like TRACE could more easily detect the clinical changes; nevertheless, AI proved sensible enough that its use in everyday clinical practice can be suggested.

Citing Articles

Actuator and Contact Force Modeling of an Active Soft Brace for Scoliosis.

Ali A, Fontanari V, Schmoelz W, Fontana M Bioengineering (Basel). 2022; 9(7).

PMID: 35877354 PMC: 9311770. DOI: 10.3390/bioengineering9070303.


Spinal Deformities and Advancement in Corrective Orthoses.

Ali A, Fontanari V, Fontana M, Schmolz W Bioengineering (Basel). 2020; 8(1).

PMID: 33375594 PMC: 7824216. DOI: 10.3390/bioengineering8010002.


Treatment of bracing for adolescent idiopathic scoliosis patients: a meta-analysis.

Zhang Y, Li X Eur Spine J. 2019; 28(9):2012-2019.

PMID: 31332572 DOI: 10.1007/s00586-019-06075-1.


Brace technology thematic series - The Sforzesco and Sibilla braces, and the SPoRT (Symmetric, Patient oriented, Rigid, Three-dimensional, active) concept.

Negrini S, Marchini G, Tessadri F Scoliosis. 2011; 6:8.

PMID: 21554719 PMC: 3115908. DOI: 10.1186/1748-7161-6-8.

References
1.
Asher M, Lai S, Burton D, Manna B . The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine (Phila Pa 1976). 2003; 28(1):63-9. DOI: 10.1097/00007632-200301010-00015. View

2.
Liu X, Thometz J, Lyon R, Klein J . Functional classification of patients with idiopathic scoliosis assessed by the Quantec system: a discriminant functional analysis to determine patient curve magnitude. Spine (Phila Pa 1976). 2001; 26(11):1274-8; discussion 1279. DOI: 10.1097/00007632-200106010-00020. View

3.
Sanders J, Polly Jr D, Cats-Baril W, Jones J, Lenke L, OBrien M . Analysis of patient and parent assessment of deformity in idiopathic scoliosis using the Walter Reed Visual Assessment Scale. Spine (Phila Pa 1976). 2003; 28(18):2158-63. DOI: 10.1097/01.BRS.0000084629.97042.0B. View

4.
Weisz I, Jefferson R, Carr A, Turner-Smith A, McInerney A, Houghton G . Back shape in brace treatment of idiopathic scoliosis. Clin Orthop Relat Res. 1989; (240):157-63. View

5.
Negrini S, Grivas T, Kotwicki T, Maruyama T, Rigo M, Weiss H . Why do we treat adolescent idiopathic scoliosis? What we want to obtain and to avoid for our patients. SOSORT 2005 Consensus paper. Scoliosis. 2006; 1:4. PMC: 1475888. DOI: 10.1186/1748-7161-1-4. View