Department of Orthopedic, University Children's Hospital UKBB, Spitalstrasse 33, 4056, Basel, Switzerland.
Orthopedic Department, Hospital of Solothurn, Solothurn, Switzerland.
Arch Orthop Trauma Surg. 2022 Jan;142(1):115-122. doi: 10.1007/s00402-020-03600-6. Epub 2020 Oct 3.
Scoliosis in patients with neuromuscular disease is a common issue and leads to secondary impairment. It is thus important to help such patients to regain and retain best possible stability to improve their quality of life. One option is the double-shelled brace (DSB). The aim of this study was to provide information on the degree of correction when using a DSB on patients with neuromuscular scoliosis.
We included patients with neuromuscular scoliosis treated with double-shelled braces in this retrospective study. Radiographs of the full spine were taken with and without the DSB, the Cobb angles were measured and compared. The correction was expressed in percent of the lumbar and thoracic Cobb angles. In addition, compounding factors such as age, sex, type of the curves, and movement disorder were included.
We analyzed data from 84 patients with scoliosis with different neuromuscular disorders. The mean age was 12.3 years (± 5.9). In the lumbar spine we detected an improvement of 27.5% (SD ± 32.9), in the thoracic spine 25.3% (SD ± 38.0).
Short-term corrections with a double-shelled brace in neuromuscular scoliosis present an average improvement of one fourth of the lumbar and thoracic Cobb angles and, independent of age, sex, movement disorder, shape or type of the curve. Only spasticity has an influence on the lumbar scoliosis outcome.
神经肌肉疾病患者的脊柱侧凸是一个常见问题，会导致继发性损伤。因此，帮助此类患者获得并保持尽可能好的稳定性以提高生活质量非常重要。其中一种选择是使用双壳矫形器（DSB）。本研究旨在提供使用 DSB 治疗神经肌肉性脊柱侧凸患者的矫正程度信息。
我们回顾性研究了使用双壳矫形器治疗的神经肌肉性脊柱侧凸患者。在使用和不使用 DSB 的情况下拍摄全脊柱 X 光片，测量 Cobb 角并进行比较。矫正程度以腰椎和胸椎 Cobb 角的百分比表示。此外，还包括年龄、性别、曲线类型和运动障碍等复合因素。
我们分析了 84 例患有不同神经肌肉疾病的脊柱侧凸患者的数据。平均年龄为 12.3 岁（±5.9）。在腰椎，我们发现矫正了 27.5%（SD ±32.9），在胸椎矫正了 25.3%（SD ±38.0）。
神经肌肉性脊柱侧凸的双壳矫形器短期矫正平均改善了腰椎和胸椎 Cobb 角的四分之一，且不受年龄、性别、运动障碍、形状或曲线类型的影响。只有痉挛会对腰椎侧凸的结果产生影响。
