以查尔斯顿弯曲支具作为唯一干预措施治疗青少年特发性脊柱侧弯后原发性矫正及其影响因素的评估
Evaluation of Primary Correction and Its Influencing Factors in Adolescent Idiopathic Scoliosis After Treatment with the Charleston Bending Brace as the Sole Intervention.
作者信息
Froehlich Susanne, Klinder Annett, Stirn Morris, Mittelmeier Wolfram, Osmanski-Zenk Katrin
机构信息
Orthopedic Department, University Medicine Rostock, 18057 Rostock, Germany.
出版信息
Life (Basel). 2025 Mar 12;15(3):448. doi: 10.3390/life15030448.
BACKGROUND
All-day braces are predominantly used for the conservative treatment of adolescent idiopathic scoliosis (AIS). The Charleston Bending Brace is a pure nighttime brace. The aim of this study was to investigate the primary in-brace correction of the main curve of AIS when treated with the Charleston Bending Brace. Specifically, the factors influencing major curve correction were examined.
METHODS
The retrospective analysis included 97 patients with AIS who were treated between October 2010 and September 2020. Patients with secondary scoliosis or orthotic pretreatment were excluded. Standardized radiographs were used to determine the Cobb angle of the major and minor curves. Curve correction in relation to Lenke's classification, the Risser stage, and rotation were assessed at four different time points (t0: before treatment, t1: 6-12 months, t2: 13-24 months, and t3: 25-36 months during treatment).
RESULTS
The average Cobb of the main curve at the beginning of the study was 25.7°. The night brace achieved excellent in-brace correction at t1, with nearly half of the patients (43%) showing a correction exceeding 80%. Curve localization, the Lenke type, and the Nash-Moe rotation significantly influenced initial in-brace curve correction at t1. At t2, there was also a significant in-brace correction of the initial Cobb by 93.0%. Similar improvements were observed at t3 for in-brace correction as well as without the brace ( < 0.031).
CONCLUSIONS
The results of the study revealed good primary in-brace correction of the main curve of the AIS with the nighttime brace, which was at least equivalent when compared to values from the literature for the Chêneau brace. Also, while restricted to medium-term results due to our study limitations, the percentage of correction in out-of-brace data of our patients was similar to weaned 24 h brace patients.
背景
全日支具主要用于青少年特发性脊柱侧凸（AIS）的保守治疗。查尔斯顿弯曲支具是一种单纯的夜间支具。本研究的目的是调查使用查尔斯顿弯曲支具治疗AIS时主弯的初次支具内矫正情况。具体而言，研究了影响主弯矫正的因素。
方法
回顾性分析纳入了2010年10月至2020年9月期间接受治疗的97例AIS患者。排除继发性脊柱侧凸或有支具预处理史的患者。使用标准化X线片确定主弯和次弯的Cobb角。在四个不同时间点（t0：治疗前，t1：6 - 12个月，t2：13 - 24个月，t3：治疗期间25 - 36个月）评估与Lenke分类、Risser分期和旋转相关的曲线矫正情况。
结果
研究开始时主弯的平均Cobb角为25.7°。夜间支具在t1时实现了出色的支具内矫正，近一半患者（43%）的矫正超过80%。曲线定位、Lenke类型和Nash - Moe旋转对t1时的初次支具内曲线矫正有显著影响。在t2时，初始Cobb角也有显著的支具内矫正，矫正率达93.0%。在t3时，支具内矫正以及去除支具后的情况均有类似改善（<0.031）。
结论
研究结果显示，夜间支具对AIS主弯有良好的初次支具内矫正效果，与文献中Cheneau支具的值相比至少相当。此外，由于研究局限性，尽管限于中期结果，但我们患者的去除支具后数据的矫正百分比与使用24小时支具后逐渐停用的患者相似。
Zotero 插件