Long-term results after Boston brace treatment in adolescent idiopathic scoliosis
نویسندگان
چکیده
BACKGROUND Few studies have evaluated long-term outcome after bracing using validated health related quality of life outcome measures. The aim of the present study was to evaluate the long-term outcome in adolescent idiopathic scoliosis (AIS) 12 years or more after treatment with the Boston brace. METHODS 109 (80%) of 135 patients (7 men) with AIS treated with the Boston brace at a mean of 19.2 (range 12-28) years previously responded to long-term follow-up examination.All patients (n = 109) answered a standardised questionnaire including demographics, work status, treatment, Global Back Disability Question, Oswestry Disability Index (ODI) (100-worst possible), General Function Score (GFS) (100 - worst possible), EuroQol (EQ-5D) (1 - best possible), EQ-VAS (100 - best possible)) and Scoliosis Research Society -22 (SRS - 22) (5 - best possible). Clinical and radiological examination was obtained in 86 patients. RESULTS The magnitude of the primary prebrace major curve was in average 33.4 degrees (range 20 - 52). At weaning and at the last follow-up the corresponding values were 28.3 degrees (9-56) and 34.2 degrees (8 - 87), respectively. The mean age at follow-up was 35 (27 - 46) years. Work status was: full time (80%), on sick-leave (3%), on rehabilitation (4%), disability pension (4%), homemaker (7%), students (2%), 7% had changed their job because of back pain. 88% had had delivered a baby, 55% of them had pain in pregnancy. Global back status was excellent or good in 81%. The mean (standard deviation) ODI was 6.4 (9.8), GFS 5.4 (10.5), EQ-5D 0.84 (0.2), SRS-22: pain 4.2 (0.8), mental health 4.2 (0.7), self-image 3.9 (0.7), function 4.1 (0.6), satisfaction with treatment 3.7 (1.0). 28% had taken physiotherapy for back pain the last year and 12% had visited a doctor. CONCLUSION Long-term results were satisfactory in most patients with AIS treated with the Boston brace.
منابع مشابه
Effect of a Long-Term Corrective Exercises With Using Brace on Cobb Angle and Postural Control of a Girl With Adolescence Idiopathic Scoliosis
Purpose: Scoliosis is a three-dimensional deformity of the spine in which the resulting imbalance accompanied by the changes in muscle and nervous components can harm the postural control. Various treatments have been suggested so far to correct scoliosis, in which using corrective exercises along with brace are essential to limit the growing curvature, improve spine stability and postural cont...
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BACKGROUND Since 1962 to the mid eighties the Harrington Rod instrumentation was the Golden standard for surgical treatment of Adolescent Idiopathic Scoliosis (AIS). The Boston braces were introduced in the 1970´s and are still used as a conservative treatment, for curves less than 40°. Very few long-term studies exists, focusing on the health related quality of life. The purpose of this study ...
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ورودعنوان ژورنال:
- Scoliosis
دوره 4 شماره
صفحات -
تاریخ انتشار 2009