Sy Ng, Borysov Maksym, Moramarco Marc, Nan Xiao F, Weiss Hans-Rudolf
Wanchai Chiropractic Centre, 11/fl China Hong Kong Tower, 8 Hennessy Road, Wanchai, Hong Kong.
Curr Pediatr Rev. 2016;12(1):36-42.
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.
The literature has been searched for papers on bracing with documented in-brace corrections and long-term 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.
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.
脊柱支具适用于生长期间的中度至重度脊柱侧弯。Cochrane系统评价和一项随机对照试验（RCT）已表明支具在阻止青少年特发性脊柱侧弯进展方面的有效性。支具治疗的结果取决于支具内矫正程度和依从性。我们回顾了有关支具的文献，以确定能提供最佳支具内矫正的支具类型。
检索文献，查找有关具有记录的支具内矫正和长期结果的支具研究论文。
非对称支具的支具内矫正百分比通常高于对称支具。根据我们检索到的文献，在早期、未成熟阶段开始治疗并使用最新标准的非对称支具时，长期矫正是可行的。
如今支具治疗有高质量证据支持（I级）。非对称支具比对称支具能带来更好的矫正效果。由于最新的计算机辅助设计/计算机辅助制造（CAD/CAM）技术发展，平均矫正效果有所改善。在早期、未成熟阶段开始支具治疗并使用最新标准的非对称支具时，长期矫正是可行的。
