Sachs B, Bradford D, Winter R, Lonstein J, Moe J, Willson S
J Bone Joint Surg Am. 1987 Jan;69(1):50-7.
From 1960 through 1978, a total of 274 patients who had a diagnosis of Scheuermann kyphosis were treated with a Milwaukee brace at the Twin Cities Scoliosis Center. We analyzed the long-term results in 120 patients who had used the Milwaukee brace and had been followed for at least five years after the completion of treatment. The average age of the patients at the initiation of treatment was twelve years and five months, the average age at the completion of treatment was sixteen years and one month, and the average age at the last follow-up examination was twenty-four years. Of the patients who wore the brace consistently, seventy-six showed improvement in the kyphosis between the initial evaluation and the evaluation at final follow-up, while twenty-four showed worsening and ten were unchanged. Seven of the twenty-four patients who were worse had had surgery before the review for this study. The indication for surgery was a kyphosis of more than 60 degrees that was increasing and was not controlled by the brace. Ten patients were inconsistent in their use of the brace. Two of the ten patients had improvement and eight had worsening of the kyphosis; three of the latter eight had a spinal fusion. This study showed that the Milwaukee brace is usually an effective method of treatment for patients who have Scheuermann kyphosis; however, four of fourteen patients who had an initial kyphosis of more than 74 degrees required a spinal fusion.
从1960年到1978年，共有274例被诊断为休曼氏后凸畸形的患者在双城脊柱侧弯中心接受了密尔沃基支具治疗。我们分析了120例使用密尔沃基支具且在治疗结束后至少随访了五年的患者的长期结果。开始治疗时患者的平均年龄为12岁零5个月，治疗结束时的平均年龄为16岁零1个月，最后一次随访检查时的平均年龄为24岁。在持续佩戴支具的患者中，76例在初次评估和最终随访评估之间后凸畸形有所改善，24例病情恶化，10例无变化。在病情恶化的24例患者中，有7例在本次研究回顾之前接受了手术。手术指征是后凸畸形超过60度且仍在加重且支具无法控制。10例患者佩戴支具不规律。这10例患者中有2例后凸畸形有所改善，8例病情恶化；后8例中有3例行脊柱融合术。本研究表明，密尔沃基支具通常是治疗休曼氏后凸畸形患者的有效方法；然而，最初后凸畸形超过74度的14例患者中有4例需要行脊柱融合术。
