Szwed Aleksander, Kołban Maciej, Jałoszewski Michał
Department of Paediatric Orthopaedics and Traumatology, Pomeranian Medical University, Szczecin, Poland.
Ortop Traumatol Rehabil. 2009 Sep-Oct;11(5):427-32.
Orthopaedic bracing is used in conservative treatment of spinal curvatures. Apart from rigid braces, SpineCor dynamic braces with a flexible design have recently become available. The idea behind dynamic bracing is that derotational and correcting forces are transmitted via a system of corrective bands. The essence of this technique is maintenance of spine mobility while effecting a position in which all components of the three-plane deformity are corrected. The aim of this study is to evaluate early outcomes of SpineCor dynamic brace treatment for idiopathic scoliosis according to SRS methodology and criteria.
The study group included 50 patients who were using SpineCor braces due to idiopathic scoliosis. The indication for bracing was the finding of a >15(5) spinal curvature in skeletally immature patients (Risser grade 0-3). Correction or stabilization of the scoliosis (Cobb angle change of +/- 5 degrees ) were recognised as positive outcomes, while a negative outcome was defined as progression of the curve of more than 5 degrees or to a value necessitating operative treatment. The study group was divided into subgroups at enrollment, according to gender and degree of scoliosis.
In the entire study group, correction was demonstrated in 24 patients (48%), stabilization in 14 (28%) and progression in spite of bracing occurred in 7 patients (14%). Five patients in the entire study group (10%) required operative treatment due to rapid curvature progression.
SpineCor bracing led to stabilization of scoliosis in the majority of the patients. Introducing the SpineCor brace in patients with a scoliosis angle over 20 degrees and Risser grade 0-3 very effectively prevented curve progression.
矫形支具用于脊柱侧弯的保守治疗。除了刚性支具外，具有灵活设计的SpineCor动态支具最近也已面市。动态支具背后的理念是，去旋转和矫正力通过矫正带系统传递。该技术的本质是在维持脊柱活动度的同时，实现对三平面畸形所有组成部分的矫正。本研究的目的是根据SRS方法和标准评估SpineCor动态支具治疗特发性脊柱侧弯的早期疗效。
研究组包括50例因特发性脊柱侧弯而使用SpineCor支具的患者。支具治疗的指征是在骨骼未成熟患者（Risser分级0 - 3级）中发现脊柱侧弯>15(5)。脊柱侧弯的矫正或稳定（Cobb角变化±5度）被视为阳性结果，而阴性结果定义为侧弯进展超过5度或进展到需要手术治疗的值。研究组在入组时根据性别和脊柱侧弯程度分为亚组。
在整个研究组中，24例患者（48%）实现了矫正，14例（28%）实现了稳定，7例患者（14%）尽管使用了支具仍出现了进展。整个研究组中有5例患者（10%）因侧弯快速进展而需要手术治疗。
SpineCor支具使大多数患者的脊柱侧弯得到稳定。在侧弯角度超过20度且Risser分级为0 - 3级的患者中引入SpineCor支具非常有效地防止了侧弯进展。
