Hefti F, Jani L
Z Orthop Ihre Grenzgeb. 1981 Apr;119(2):185-92. doi: 10.1055/s-2008-1051443.
The application of the Milwaukee brace during adolescence is indicated not only in scoliosis, but also in severe forms of Scheuermann's kyphosis. In Basel between 1970 and 1979, 55 patients with severe thoracic kyphosis were treated with the Milwaukee brace. 45 of these patients were followed for a longer period of time. The results of the measurements of the kyphotic angles and of the angles of the wedges vertebral bodies are presented in detail. In those children who were followed to adulthood an average curvature correction from 40 degrees to 32 degrees was found. This represents a correction exceeding 50%, if a physiological angle of 25 degrees is presumed. Also, measurements showed erection of the wedged vertebral bodies after completion of growth. Consequently, the use of the Milwaukee brace for rigid thoracic kyphosis of more than 35 degrees in adolescents is advised.
密尔沃基支具在青少年时期的应用不仅适用于脊柱侧弯，也适用于重度休门氏后凸。1970年至1979年期间，在巴塞尔，55例重度胸椎后凸患者接受了密尔沃基支具治疗。其中45例患者接受了较长时间的随访。详细介绍了后凸角度和椎体楔形变角度的测量结果。在那些随访至成年的儿童中，发现平均曲率从40度矫正到了32度。如果假定生理角度为25度，这意味着矫正超过了50%。此外，测量结果显示生长完成后楔形变椎体有所矫正。因此，建议对青少年超过35度的僵硬胸椎后凸使用密尔沃基支具。
