Hanks G A, Zimmer B, Nogi J
Division of Orthopaedics, Milton S. Hershey Medical Center, Pennsylvania State University, Hershey.
Spine (Phila Pa 1976). 1988 Jun;13(6):626-9.
A retrospective study of one hundred female patients treated for idiopathic scoliosis using an underarm plastic thoracolumbar-sacral orthosis (TLSO) jacket was undertaken. The purpose of the study was to evaluate the efficacy of the Wilmington jacket, to search for clinical variables which could statistically predict success, and to evaluate preliminary results of parttime bracing in 25 patients. The following parameters were statistically evaluated by multiple regression analysis: age, sex, curve location, number of vertebrae in curve, Cobb angle, maturity (Risser sign, menarche), curve flexibility, and hours in the jacket. The overall success rate was 81%, and onset of menarche and Risser sign were statistically significant prognostic variables. Ten patients (10%) underwent posterior spinal fusion for curve progression. Bracing with an underarm scoliosis jacket is a successful method of treatment of idiopathic scoliosis in the immature spine. We do not recommend brace treatment for postmenarchal patients or patients with a Risser sign of Grade 1 or greater until curve progression has been observed. Furthermore, the Wilmington jacket appears to give similar results for part-time brace wearers.
对100例使用腋下塑料胸腰骶矫形器（TLSO）背心治疗特发性脊柱侧凸的女性患者进行了回顾性研究。本研究的目的是评估威尔明顿背心的疗效，寻找能够在统计学上预测成功的临床变量，并评估25例患者进行部分时间支具治疗的初步结果。通过多元回归分析对以下参数进行统计学评估：年龄、性别、侧弯位置、侧弯椎体数量、 Cobb角、成熟度（Risser征、月经初潮）、侧弯柔韧性以及穿戴背心的时间。总体成功率为81%，月经初潮和Risser征是具有统计学意义的预后变量。10例患者（10%）因侧弯进展接受了后路脊柱融合术。使用腋下脊柱侧凸背心进行支具治疗是治疗未成熟脊柱特发性脊柱侧凸的一种成功方法。在观察到侧弯进展之前，我们不建议对月经初潮后患者或Risser征为1级或更高的患者进行支具治疗。此外，威尔明顿背心似乎对部分时间穿戴支具的患者也能产生类似的效果。
