Negrini Stefano, Grivas Theodoros B
ISICO (Italian Scientific Spine Institute), Via R Bellarmino 13/1, 20141 Milan, Italy.
Orthopaedic and Trauma Department, "Tzanio" General Hospital of Piraeus, Piraeus, Greece.
Scoliosis. 2010 Jan 28;5(1):2. doi: 10.1186/1748-7161-5-2.
Bracing is the main non-surgical intervention in the treatment of idiopathic scoliosis during growth, in hyperkyphosis (and Scheuermann disease) and occasionally for spondylolisthesis; it can be used in adult scoliosis, in the elderly when pathological curves lead to a forward leaning posture or in adults after traumatic injuries. Bracing can be defined as the application of external corrective forces to the trunk; rigid supports or elastic bands can be used and braces can be custom-made or prefabricated. The state of research in the field of conservative treatment is insufficient and while it can be stated that there is some evidence to support bracing, we must also acknowledge that today we do not have a common and generally accepted knowledge base, and that instead, individual expertise still prevails, giving rise to different schools of thought on brace construction and principles of correction. The only way to improve the knowledge and understanding of brace type and brace function is to establish a single and comprehensive source of information about bracing. This is what the Scoliosis Journal is going to do through the "Brace Technology" Thematic Series, where technical papers coming from the different schools will be published.
支具治疗是生长发育期特发性脊柱侧凸、脊柱后凸（和休门氏病）以及偶尔用于腰椎滑脱治疗的主要非手术干预措施；它也可用于成人脊柱侧凸，用于因病理性脊柱侧弯导致前倾姿势的老年人，或用于创伤后成人。支具治疗可定义为对躯干施加外部矫正力；可使用刚性支撑或弹性带，支具可以定制或预制。保守治疗领域的研究状况尚不充分，虽然可以说有一些证据支持支具治疗，但我们也必须承认，目前我们没有一个共同且普遍接受的知识基础，相反，个人专业知识仍然占主导地位，这导致了在支具构造和矫正原则上出现了不同的思想流派。提高对支具类型和支具功能的认识和理解的唯一方法是建立一个关于支具治疗的单一且全面的信息来源。这正是《脊柱侧凸杂志》将通过“支具技术”专题系列来实现的，来自不同流派的技术论文将在该系列中发表。
