Miller A, Temple T, Miller F
Alfred I. duPont Institute, Wilmington, Delaware 19899, USA.
J Pediatr Orthop. 1996 May-Jun;16(3):332-5. doi: 10.1097/00004694-199605000-00007.
This study was undertaken to determine the impact of spinal bracing on curve pattern and the rate of progression of neuromuscular scoliosis in children with cerebral palsy. Twenty-one patients were treated with a Wilmington custom-molded orthosis with 23 h a day brace wear for a mean bracing period of 67 months (range, 22-173). Twenty-two patients had a similar follow-up to spinal fusion but had no bracewear. Patients who were braced had a scoliosis that reached a magnitude of 50 degrees at a mean 12.5 years, compared with a mean age of 14 years for those who were not braced (p > 0.05). Spinal orthotics had no impact on scoliosis curve, shape, or rate of progression in spastic quadriplegic patients who were followed-up on fusion. Apical vertebral rotation > 2 (Nash and Moe criteria) is an indicator of impending rapid progression of the scoliosis curve.
本研究旨在确定脊柱支具对脑瘫患儿神经肌肉型脊柱侧弯的弯曲模式及进展速度的影响。21例患者接受了威尔明顿定制塑形矫形器治疗，每天佩戴支具23小时，平均佩戴时间为67个月（范围22 - 173个月）。22例患者接受了类似脊柱融合术的随访，但未佩戴支具。佩戴支具的患者脊柱侧弯在平均12.5岁时达到50度，而未佩戴支具的患者平均年龄为14岁（p>0.05）。对于接受融合术随访的痉挛性四肢瘫患者，脊柱矫形器对脊柱侧弯的曲线、形状或进展速度没有影响。顶椎旋转>2（纳什和莫伊标准）是脊柱侧弯曲线即将快速进展的一个指标。
