A comparison between the Boston brace and the Charleston bending brace in adolescent idiopathic scoliosis
A comparison between the Boston brace and the Charleston bending brace in adolescent idiopathic scoliosis
复制标题
DOI：
10.1097/00007632-199706150-00005
复制
发表时间：
1997-06-15
期刊：
影响因子：
3
通讯作者：
Herring, JA
中科院分区：
文献类型：
--
作者：
Katz, DE;Richards, BS;Herring, JA
研究设计。作者研究了在同一机构使用波士顿支具或查尔斯顿弯曲支具治疗的 319 名青少年特发性脊柱侧凸患者。 目的。确定两种矫形器在阻止曲线进展和防止需要手术矫正方面是否同样有效。背景数据摘要。早期报告表明，查尔斯顿支具的有效性可能与波士顿支具相当，并且两种支具都对特发性脊柱侧凸的自然史产生积极影响。方法，对骨骼未成熟（Risser 0、1或2）的特发性脊柱侧凸患者进行回顾性研究，这些患者在使用支具处方时年龄为10岁或以上，弯曲范围为25度至45度，并且既往未接受任何治疗。所有测量值均由一名观察者收集，并对所有患者进行随访直至骨骼成熟。结果，波士顿支具比查尔斯顿支具更有效，无论是在防止曲线进展还是避免手术需要方面。这些发现对于曲线为 36 度 - 45 度的患者最为显着，其中 83% 使用 Charleston 支具治疗的患者的曲线进展超过 5 度，而使用 Boston 支具治疗的患者中这一比例为 43% (p < 0.0001)。结论。当在治疗青少年特发性脊柱侧凸时在这两种矫形器之间进行选择时，作者建议使用波士顿支具。仅在治疗较小的单胸腰椎或单腰椎弯曲时才应考虑使用 Charleston 支具。
Study Design. The authors studied 319 patients with adolescent idiopathic scoliosis treated at the same institution with either a Boston brace or a Charleston bending brace.Objectives. To determine if both orthoses are equally effective in stopping curve progression and preventing the need for surgical correction.Summary of Background Data. Early reports suggest that the Charleston brace may be comparable to the Boston brace in its effectiveness and that both braces positively influence the natural history of idiopathic scoliosis.Methods, Skeletally immature (Risser 0, 1, or 2) patients with idiopathic scoliosis who were 10 years old or older at the time of brace prescription, had curves from 25 degrees to 45 degrees, and had no prior treatment were studied retrospectively. All measurements were collected by a single observer, and all patients were followed up to skeletal maturity.Results, The Boston brace is more effective than the Charleston brace, both in preventing curve progression and in avoiding the need for surgery. These findings were most notable for patients with curves of 36 degrees-45 degrees, in whom 83% of the those treated with a Charleston brace had curve progression of more than 5 degrees, compared with 43% of those treated with the Boston brace (p < 0.0001).Conclusion. When given the choice between these two orthoses in the treatment of adolescent idiopathic scoliosis, the authors recommend use of the Boston brace. The Charleston brace should be considered only in the treatment of smaller single thoracolumbar or single lumbar curves.