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View Full Version : Long-term outcome after Boston brace treatment in AIS



Sealy
1st September 2009, 03:59 PM
Here is another interesting study. The full text to the article is available online.



1: Scoliosis. (http://javascript<b></b>:AL_get(this, 'jour', 'Scoliosis.');) 2009 Aug 26;4(1):17. [Epub ahead of print]

http://www.ncbi.nlm.nih.gov/corehtml/query/egifs/http:--www.biomedcentral.com-graphics-pubmed-1748-7161.gif (http://www.scoliosis-support.org/entrez/utils/fref.fcgi?PrId=3196&itool=AbstractPlus-def&uid=19709435&nlmid=101271527&db=pubmed&url=http://www.scoliosisjournal.com/content/4/1/17) Links (http://javascript<b></b>:PopUpMenu2_Set(Menu19709435);)

Long-term outcome after Boston brace treatment in adolescent idiopathic scoliosis.

Lange JE (http://www.scoliosis-support.org/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Lange%20JE%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus), Steen H (http://www.scoliosis-support.org/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Steen%20H%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus), Brox JI (http://www.scoliosis-support.org/sites/entrez?Db=pubmed&Cmd=Search&Term=%22Brox%20JI%22%5BAuthor%5D&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsP anel.Pubmed_DiscoveryPanel.Pubmed_RVAbstractPlus).
ABSTRACT:

BACKGROUND: Few studies have evaluated long-term outcome after bracing using validated quality of life outcome. The aim of the present study was to evaluate the long-term outcome in adolescent idiopathic scoliosis (AIS) 12 years or more after treatment with Boston brace.

METHODS: 109 (80 %) of 135 patients (7 men) with AIS treated with Boston brace at a mean of 19.2 (12-28) years previously responded to long-term follow-up examination. All patients (n = 109) answered a standardised questionnaire including demographics, work status, treatment, Global Back Disability Question, Oswestry Disability Index (ODI) (100-worst possible), General Function Score (GFS) (100 - worst possible), EuroQol (EQ-5D (1 - best possible), EQ-VAS (100 - best possible)) and Scoliosis Research Society -22 (SRS - 22) (5 - best possible). Clinical and radiological examination was obtained in 86 patients.

RESULTS: The magnitude of the primary prebrace major curve was in average 33.4 (range 20 - 52) degrees. At weaning and at the last follow-up the corresponding values were 28.3 (9 -56) and 34.2 (8 - 87) degrees, respectively. The mean age at follow-up was 35 (27 - 46) years. Work status was: full time (80%), on sick-leave (3%), on rehabilitation (4%), disability pension (4%), homemaker (7%), students (2%), 7 % had changed their job because of back pain. 88% had had delivered a baby, 55% of them had pain in pregnancy. Global back status was excellent or good in 81 %. Mean (standard deviation) ODI was 6.4 (9.8), GFS 5.4 (10.5), EQ-5D 0.84 (0.2), SRS-22: pain 4.2 (0.8), mental health 4.2 (0.7), self-image 3.9 (0.7), function 4.1 (0.6), satisfaction with treatment 3.7 (1.0). 28 % had taken physiotherapy for back pain the last year and 12 % had visited a doctor.

CONCLUSION: Long-term results were satisfactory in most patients with AIS treated with the Boston brace.