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特发性脊柱侧凸的密尔沃基支具:123例完整病例的评估

The Milwaukee brace in idiopathic scoliosis: evaluation of 123 completed cases.

作者信息

Keiser R P, Shufflebarger H L

出版信息

Clin Orthop Relat Res. 1976 Jul-Aug(118):19-24.

PMID:954276
Abstract

The Milwaukee Brace, as evaluated in 123 completed cases, is effective in controlling and correcting mild to moderate idiopathic scoliotic curves. The factors contributing to more correction include dorsal location, younger patients at onset of treatment, more flexible curves, and most important cooperative patients and parents. Less severe curves also achieved greater correction. Loss of correction after brace discontinuance is negligible, due to the fact that weaning and discontinuance were based on the stability of correction after 24 unbraced hours. Patients cooperative with the wearing and exercise program can expect approximately 25 per cent correction in dorsal curves and 20 per cent correction in lumbar curves. Cosmetic improvement can be expected in the majority of patients. Complications are negligible.

摘要

在123例已完成治疗的病例中评估发现,密尔沃基支具在控制和矫正轻度至中度特发性脊柱侧弯曲线方面是有效的。促成更大程度矫正的因素包括位于背部、治疗开始时年龄较小、曲线更具柔韧性,以及最重要的是患者和家长的配合。病情较轻的曲线也能实现更大程度的矫正。由于脱支具和停用支具是基于24小时不佩戴支具后矫正的稳定性,因此停用支具后矫正的丢失可以忽略不计。配合佩戴支具和锻炼计划的患者,预计胸椎曲线可矫正约25%,腰椎曲线可矫正约20%。大多数患者的外观可得到改善。并发症可忽略不计。

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