Document Detail


Use of the Milwaukee brace for progressive idiopathic scoliosis.
MedLine Citation:
PMID:  8609134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
One hundred and two (92 per cent) of 111 immature patients in whom idiopathic scoliosis had been treated with a Milwaukee brace were followed to determine the effectiveness of the brace in preventing progression of the scoliosis. The average time from cessation of bracing until the latest radiographs were made for the patients who were managed non-operatively was six years and four months. The average progression of the curve, from the time of initial bracing until use of the brace was stopped, in the eighty-eight patients who were included in the statistical analysis was 4 degrees. The curve continued to progress an average of 5 degrees after use of the brace was stopped in the patients who did not have an arthrodesis. Forty-two patients (48 percent) had more than 5 degrees of progression at the time that use of the brace was stopped. Thirty-seven patients (42 per cent) had an operation or a curve of sufficient magnitude to warrant operative intervention. The maximum correction of the Cobb angle in the brace had prognostic importance for progression of the curve. The patients in whom the curve did not progress or who did not need operative intervention had had an average correction of 20 per cent, while the patients who had a failure had had an average correction of 8 per cent. The patients who eventually had the indications for an arthrodesis were on the average, one year younger (eleven years and none months) and had a curve of a larger magnitude at the time of bracing than the patients who did not need an arthrodesis. The findings of this study do not agree with previously reported favorable results with bracing and raise questions about whether the natural history of progressive idiopathic scoliosis is truly altered by use of the Milwaukee brace.
Authors:
K J Noonan; S L Weinstein; W C Jacobson; L A Dolan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  78     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1996 Apr 
Date Detail:
Created Date:  1996-05-28     Completed Date:  1996-05-28     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  557-67     Citation Subset:  AIM; IM    
Affiliation:
Department of Orthopaedics, Orlando Regional Medical Center, Florida 32806, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Determination by Skeleton
Age Factors
Braces*
Child
Disease Progression
Equipment Design
Female
Follow-Up Studies
Humans
Lumbar Vertebrae / radiography
Male
Menarche
Osteogenesis
Patient Compliance
Prognosis
Risk Factors
Rotation
Scoliosis / physiopathology,  prevention & control*,  radiography,  surgery
Sex Factors
Spinal Fusion
Thoracic Vertebrae / radiography
Treatment Outcome
Comments/Corrections
Comment In:
J Bone Joint Surg Am. 1997 Jun;79(6):954; author reply 954-5   [PMID:  9199393 ]
J Bone Joint Surg Am. 1997 Jun;79(6):954; author reply 954-5   [PMID:  9199394 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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