Brace treatment in an infantile/juvenile patient with progressive scoliosis due to Marfan’s syndrome

نویسندگان

  • HR Weiss
  • M Werkmann
چکیده

Case report A two year old girl diagnosed with Marfan’s syndrome presented with a double major scoliosis of 20°. After a follow-up of 6 months she showed a rapid progression to 46° (November 2008) and was braced immediately. In-brace correction in the first brace (RSC) was moderate due to the stiffness mainly of the lumbar curve. A new brace was made after significant growth (Gensingen brace in October 2009). An in-brace correction to 12° thoracic and 12° lumbar has been achieved. In October 2010 she also has outgrown her second brace to some extent. Due to clinical overcorrection (ATR lumbar -5°) brace wearing time has been reduced to 12 hrs. / day at first. In January 2011 at the age of 4 and a half she presented again with an ATR lumbar of -6° and thoracic 2°, lumbar still overcorrected, so we decided to leave off the brace for 3 months time.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: SOSORT 2014 award winner

BACKGROUND Over the last years, evidence has accumulated in support of bracing as an effective treatment option in patients with idiopathic scoliosis. Yet, little information is available on the impact of compliance on the outcome of conservative treatment in scoliotic subjects. The aim of the present study was to prospectively evaluate the association between compliance to brace treatment and ...

متن کامل

Controversial Issue Session: Brace treatment in infantile scoliosis: brace treatment problems

Orthotic treatment of infantile scoliosis represents a challenge: 1. Most of them are progressive 2. Different etiologies 3. Associated diseases 4. Smaller size anatomy 5. Immature rib cage Types: 1. Braces • Do not provide immediate correction • Treatment aimed to “hold” the spine and prevent further progression • Risk of chest deformity in case of braces constricting the thorax • Literature d...

متن کامل

The management of progressive infantile idiopathic scoliosis.

Twenty-seven children with progressive infantile idiopathic scoliosis have been reviewed after long-term management. Twenty-two children had single thoracic curves which were diagnosed at an early age and treated in a modified Milwaukee brace until the age of ten years when the spine was corrected and fused. The mean correction after operation was 40 per cent of the initial degree of curvature ...

متن کامل

Rib resection in infantile idiopathic scoliosis.

Analysis was made of the results of two methods of treatment of progressive infantile idiopathic scoliosis: a group of forty-eight children treated by rib resection, localiser jackets and Milwaukee brace were compared with a 'control' group of nineteen children treated by localiser jackets and Milwaukee brace alone. This failed to show any significant difference between the two groups. Carefull...

متن کامل

Conservative treatment of juvenile with Chiari I malformation, syringomyelia and scoliosis. Two case reports

Background Scoliosis improvement after surgical treatment of Chiari I and syrinx has been reported [1]. Incidence of scoliosis progression after decompression surgery has been reported as high as 48%. The conservative treatment with brace in these patients is not effective and scoliosis is typically progressive [2]. Spontaneous resolution of CT syrinx and Chiari I in paediatric population is un...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 7  شماره 

صفحات  -

تاریخ انتشار 2012