Etemadifar Mohammad Reza, Mahdinezhad Yazdi Masoud
Associate Professor of Spine Surgery, Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Department of Orthopedic Surgery, School of Medicine, Isfahan University of Medical Sciences Isfahan, Iran.
Int J Physiol Pathophysiol Pharmacol. 2022 Jun 15;14(3):187-192. eCollection 2022.
Kyphosis treatment aims to prevent curve progression and deformity correction. This study aimed to evaluate the long-term beneficial effects of Kyphologic brace treatments in patients with Scheuermann kyphosis.
This retrospective case series study was performed on patients with Scheuermann kyphosis treated with a Kyphologic brace from 2013-2020. Demographic data, including age, gender, and duration of treatments, were extracted. Mean kyphosis angles before, one month and 1 year after treatments were collected. Patients were followed for at least 18 months after treatments. The location of kyphosis apex was also noted and classified into the following groups: upper thoracic, mid thoracic, lower thoracic, and thoracolumbar.
48 patients with Scheuermann kyphosis enrolled in the present study. The mean age of the patients was 12.95 ± 1.4 years. The average follow-up time in this study was 23.02 ± 11.8 months. The mean kyphosis angle before treatments was 63.66 ± 9.51°, which decreased significantly after one month (to 43.33 ± 8.7°) and after 1 year (to 37.6 ± 9.4°) of treatments with Kyphologic brace compared to before treatments (P < 0.001). The most common location of kyphosis apex was in mid-thoracic with 77% frequency.
In this study, we showed that using a Kyphologic brace was associated with a significant reduction in kyphosis angle in patients. Our results emphasized the effectiveness of this brace in patients with Scheuermann kyphosis.
脊柱后凸治疗旨在防止畸形进展和矫正畸形。本研究旨在评估Kyphologic支具治疗休门氏脊柱后凸患者的长期有益效果。
本回顾性病例系列研究针对2013年至2020年使用Kyphologic支具治疗的休门氏脊柱后凸患者进行。提取人口统计学数据，包括年龄、性别和治疗持续时间。收集治疗前、治疗后1个月和1年的平均脊柱后凸角度。治疗后对患者进行至少18个月的随访。还记录了脊柱后凸顶点的位置，并分为以下几组：上胸椎、中胸椎、下胸椎和胸腰段。
本研究纳入了48例休门氏脊柱后凸患者。患者的平均年龄为12.95±1.4岁。本研究的平均随访时间为23.02±11.8个月。治疗前的平均脊柱后凸角度为63.66±9.51°，与治疗前相比，使用Kyphologic支具治疗1个月后（降至43.33±8.7°）和1年后（降至37.6±9.4°）显著降低（P<0.001）。脊柱后凸顶点最常见的位置是中胸椎，频率为77%。
在本研究中，我们表明使用Kyphologic支具可使患者的脊柱后凸角度显著降低。我们的结果强调了该支具对休门氏脊柱后凸患者的有效性。
