Vicente Luis González, Barrios María Jiménez, González-Santos Josefa, Santamaría-Peláez Mirian, Soto-Cámara Raúl, Mielgo-Ayuso Juan, Fernández-Lázaro Diego, González-Bernal Jerónimo J
Orthopedic Department, Institut Sant Joan SL, 08009 Barcelona, Spain.
Department of Health Sciences, University of Burgos, 09001 Burgos, Spain.
J Clin Med. 2021 Aug 30;10(17):3915. doi: 10.3390/jcm10173915.
The high incidence of idiopathic scoliosis worldwide as well as the serious health problems it can cause in adulthood, make it necessary to seek effective treatments to prevent the progression of the disease to more aggressive treatments such as surgery and improve patients' quality of life. The use of night braces, besides a less severe influence on the patient's quality of life, is effective in stopping the progression of the curve in idiopathic scoliosis.
A longitudinal study was performed with an experimental population of 108 participants who attended orthotic treatment at the University Hospital of Barcelona, with ages between 4 and 15 years old, with a main curvature greater than 25 degrees and a Risser between 0 and 3. The participants received treatment with Providence ISJ-3D night braces until their pubertal change (mean duration of 2.78 years for males and 1.97 years for females).
The implementation of night-time orthotic treatment in children with idiopathic scoliosis is effective in slowing the progression of the curve and in the prevention of more aggressive treatments such as surgery, maintaining the patient's quality of life.
The use of night braces is efficacious in the treatment of idiopathic scoliosis, although new studies including more sociodemographic data as well as curves from 20 degrees of progression are necessary.
特发性脊柱侧凸在全球发病率很高，且在成年期会引发严重的健康问题，因此有必要寻求有效的治疗方法来防止病情发展到需要进行手术等更激进的治疗，并提高患者的生活质量。使用夜间支具，除了对患者生活质量的影响较小外，对阻止特发性脊柱侧凸的曲线进展是有效的。
进行了一项纵向研究，实验对象为108名在巴塞罗那大学医院接受矫形治疗的参与者，年龄在4至15岁之间，主弯大于25度，Risser征在0至3之间。参与者接受Providence ISJ - 3D夜间支具治疗，直至青春期变化（男性平均持续时间为2.78年，女性为1.97年）。
对特发性脊柱侧凸儿童实施夜间矫形治疗可有效减缓曲线进展，并预防手术等更激进的治疗，维持患者的生活质量。
使用夜间支具治疗特发性脊柱侧凸是有效的，尽管需要开展包括更多社会人口统计学数据以及20度进展曲线的新研究。
