Tóth L, Slechta J, Vlach O
Acta Chir Orthop Traumatol Cech. 1989 Apr;56(2):122-8.
The authors evaluate the results of treatment of idiopathic scoliosis by a Milwaukee brace in 192 patients with treatment initiated and terminated in 1975 to 1985. In the group of 116 juvenile scolioses at the end of the investigation 26 had improved, 53 did not improve and 37 deteriorated. In the group of adolescent scoliosis 18 improved, 44 did not improve and 11 deteriorated. In the group of improved patients the number of persons declines with the time interval after completed treatment. With the increasing severity of the initial curve the effect of treatment by a brace diminishes. The percentage of non-cooperating patients is substantially higher in the group of not improved and deteriorated cases. In 26 selected patients the authors investigated the lordosis-promoting effect of the brace on the thoracic spine. Because of progression of the deformity the authors operated 12 patients with juvenile and one patients with adolescent scoliosis.
作者评估了192例在1975年至1985年开始并结束治疗的特发性脊柱侧凸患者使用密尔沃基支具的治疗结果。在116例青少年脊柱侧凸组中，调查结束时，26例病情改善，53例未改善，37例病情恶化。在青少年脊柱侧凸组中，18例改善，44例未改善，11例恶化。在改善的患者组中，人数随完成治疗后的时间间隔而减少。随着初始曲线严重程度的增加，支具治疗的效果减弱。在未改善和恶化病例组中，不配合治疗的患者比例明显更高。在26例选定患者中，作者研究了支具对胸椎的前凸促进作用。由于畸形进展，作者对12例青少年脊柱侧凸患者和1例青少年脊柱侧凸患者进行了手术。
