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Curr Pediatr Rev. 2015 Nov 17. [Epub ahead of print]

Bracing Scoliosis - State of the Art.

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1
11/fl China Hong Kong Tower 8 Hennessy Road Wanchai Hong Kong. ngshuyanhcc@gmail.com.

Abstract

Spinal bracing is indicated in moderate to severe curves during growth. Brace effectiveness in halting progression of adolescent idiopathic scolisosis has been shown in a Cochrane review and in a randomized controlled trial (RCT). The outcome of brace treatment is dependent on the extent of in-brace correction and compliance. We have reviewed the literature on bracing to determine the types of brace that offer the best in-brace correction.

MATERIALS AND METHODS:

The literature has been searched for papers on bracing with documented in-brace corrections and long-term results .

RESULTS:

The in-brace percentage of correction of asymmetric braces is generally higher than that of the symmetric braces. According to the literature found in our search, long-term corrections are possible when starting treatment early, at an immature stage and with asymmetric braces of recent standards.

CONCLUSIONS:

Bracing today is supported by high quality evidence (Level I). Asymmetric braces have led to better corrections than that described for symmetric braces . An improvement of the average corrective effect has been described due to the latest CAD / CAM development. Long-term corrections are possible when starting brace treatment early, at an immature stage and with asymmetric braces of recent standards.

PMID:
26573162

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