Wong Christian, Andersen Thomas B
Department of Orthopedics, Hvidovre Hospital, Kettegaards Alle 30, 2650 Hvidovre, Denmark.
Department of Orthopedics, National University Hospital, Blegdamsvej 9, 2100 Copenhagen, Denmark.
J Clin Med. 2022 Jan 5;11(1):264. doi: 10.3390/jcm11010264.
The braces of today are constructed to correct the frontal plane deformity of idiopathic adolescent scoliosis (AIS). The Spinaposture brace© (Spinaposture Aps, Copenhagen, Denmark) is a soft-fabric brace for AIS and is designed to enhance rotational axial stability by inducing a sagittal plane kyphotic correction. This prospective observational study evaluated the brace in fifteen patients with AIS. The initial average CA was 16.8° (SD: 2.8). They were followed prospectively every 3 to 6 months during their brace usage until skeletal maturity of 25 months and at long-term follow-up of 44 months. In- and out-of-brace radiographs were performed in six subjects at inclusion. This resulted in an immediate in-brace correction of 25.3 percent in CA (14.3°→10.8°) and induced a kyphotic effect of 14.9 percent (40.8°→47.9°). The average in-brace improvement at first follow-up was 4.5° in CA, and the CA at skeletal maturity was 11° (SD: 7.4°) and long-term 12.0° (SD: 6.8°). In conclusion, the Spinaposture brace© had an immediate in-brace deformity correction and a thoracic kyphotic effect. At skeletal maturity, the deformities improved more than expected when compared to that of the natural history/observation and similar to that of other soft braces. No long-term deformity progression was seen. To substantiate these findings, stronger designed studies with additional subjects are needed.
如今的支具旨在矫正特发性青少年脊柱侧凸(AIS)的额面畸形。Spinaposture支具(Spinaposture Aps,丹麦哥本哈根)是一种用于AIS的软质织物支具,其设计目的是通过诱导矢状面后凸矫正来增强旋转轴向稳定性。这项前瞻性观察研究对15例AIS患者使用的该支具进行了评估。初始平均Cobb角(CA)为16.8°(标准差:2.8)。在他们使用支具期间,每3至6个月进行前瞻性随访,直至骨骼成熟(25个月)以及长期随访(44个月)。纳入研究时,对6名受试者进行了佩戴支具前后的X线检查。这导致CA立即在支具内矫正了25.3%(14.3°→10.8°),并产生了14.9%的后凸效应(40.8°→47.9°)。首次随访时,支具内CA的平均改善为4.5°,骨骼成熟时CA为11°(标准差:7.4°),长期随访时为12.0°(标准差:6.8°)。总之,Spinaposture支具具有立即在支具内矫正畸形以及胸椎后凸效应。在骨骼成熟时,与自然病史/观察结果相比,畸形改善程度超过预期,与其他软质支具相似。未观察到长期畸形进展。为证实这些发现,需要设计更有力的研究并纳入更多受试者。