Effectiveness of the Charleston Bending Brace in the Treatment of Single-Curve Idiopathic Scoliosis
The purpose of this study was to determine the effectiveness of the Charleston bending brace when compared with the thoracolumbosacral orthosis (TLSO or Boston) brace in the treatment of single-curve adolescent-type idiopathic scoliosis. The Charleston and TLSO braces were applied for approximately...
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Veröffentlicht in: | Journal of pediatric orthopaedics 2002-01, Vol.22 (1), p.84-87 |
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creator | Gepstein, Reuven Leitner, Yossi Zohar, Edna Angel, Itzach Shabat, Shai Pekarsky, Ilia Friesem, Tye Folman, Yoram Katz, Amiram Fredman, Brian |
description | The purpose of this study was to determine the effectiveness of the Charleston bending brace when compared with the thoracolumbosacral orthosis (TLSO or Boston) brace in the treatment of single-curve adolescent-type idiopathic scoliosis. The Charleston and TLSO braces were applied for approximately 8 nighttime hours and 18 to 22 hours per day, respectively. Treatment success was defined as improvement of curve deterioration with |
doi_str_mv | 10.1097/00004694-200201000-00018 |
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The Charleston and TLSO braces were applied for approximately 8 nighttime hours and 18 to 22 hours per day, respectively. Treatment success was defined as improvement of curve deterioration with <5° progression from the start of brace therapy until the conclusion of treatment, as well as the absence for the need to perform corrective surgery. The success rates were determined by Risser stage, initial angle, type of curvature, and sex of the patient. In addition, the success rate of the Charleston brace was assessed by analyzing the degree of initial correction. One hundred twenty-two patients (94 girls, 28 boys) were studied. Eighty-five patients were treated with the Charleston brace and 37 with the TLSO brace. Mean Cobb angle of curvature before bracing was 30.4°. The curvature was lumbar in 60 patients, thoracic in 56, and thoracolumbar in 6. The average follow-up time was 23 months, with a minimum follow-up of 1 year. Surgery was performed in 11.8% and 13.5% of patients in the Charleston and TLSO groups, respectively. In this patient population, no significant difference in success rate was found between the groups.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-200201000-00018</identifier><identifier>PMID: 11744860</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Braces - utilization ; Chi-Square Distribution ; Child ; Diseases of the osteoarticular system ; Diseases of the spine ; Equipment Design ; Equipment Safety ; Female ; Follow-Up Studies ; Humans ; Long-Term Care ; Male ; Medical sciences ; Orthotic Devices - utilization ; Probability ; Retrospective Studies ; Scoliosis - diagnosis ; Scoliosis - rehabilitation ; Sensitivity and Specificity ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics, 2002-01, Vol.22 (1), p.84-87</ispartof><rights>2002 Lippincott Williams & Wilkins, Inc.</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3378-21a2a3368448c717aa5abbde23eae6f026a70982e31f5b71fcc813cd9d7678ff3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13437871$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11744860$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gepstein, Reuven</creatorcontrib><creatorcontrib>Leitner, Yossi</creatorcontrib><creatorcontrib>Zohar, Edna</creatorcontrib><creatorcontrib>Angel, Itzach</creatorcontrib><creatorcontrib>Shabat, Shai</creatorcontrib><creatorcontrib>Pekarsky, Ilia</creatorcontrib><creatorcontrib>Friesem, Tye</creatorcontrib><creatorcontrib>Folman, Yoram</creatorcontrib><creatorcontrib>Katz, Amiram</creatorcontrib><creatorcontrib>Fredman, Brian</creatorcontrib><title>Effectiveness of the Charleston Bending Brace in the Treatment of Single-Curve Idiopathic Scoliosis</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>The purpose of this study was to determine the effectiveness of the Charleston bending brace when compared with the thoracolumbosacral orthosis (TLSO or Boston) brace in the treatment of single-curve adolescent-type idiopathic scoliosis. The Charleston and TLSO braces were applied for approximately 8 nighttime hours and 18 to 22 hours per day, respectively. Treatment success was defined as improvement of curve deterioration with <5° progression from the start of brace therapy until the conclusion of treatment, as well as the absence for the need to perform corrective surgery. The success rates were determined by Risser stage, initial angle, type of curvature, and sex of the patient. In addition, the success rate of the Charleston brace was assessed by analyzing the degree of initial correction. One hundred twenty-two patients (94 girls, 28 boys) were studied. Eighty-five patients were treated with the Charleston brace and 37 with the TLSO brace. Mean Cobb angle of curvature before bracing was 30.4°. The curvature was lumbar in 60 patients, thoracic in 56, and thoracolumbar in 6. The average follow-up time was 23 months, with a minimum follow-up of 1 year. Surgery was performed in 11.8% and 13.5% of patients in the Charleston and TLSO groups, respectively. In this patient population, no significant difference in success rate was found between the groups.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Braces - utilization</subject><subject>Chi-Square Distribution</subject><subject>Child</subject><subject>Diseases of the osteoarticular system</subject><subject>Diseases of the spine</subject><subject>Equipment Design</subject><subject>Equipment Safety</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Long-Term Care</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthotic Devices - utilization</subject><subject>Probability</subject><subject>Retrospective Studies</subject><subject>Scoliosis - diagnosis</subject><subject>Scoliosis - rehabilitation</subject><subject>Sensitivity and Specificity</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1LxDAQhoMouq7-BclFb9V8tE161GX9AMHDrucym05sNNuuSav47426IjgwDMM88zK8Qwjl7JyzSl2wFHlZ5ZlgTDCeuiwl1ztkwgtZZaJQbJdMmFA8K1WlD8hhjM-JUDKX--SAc5XnumQTYubWohncG3YYI-0tHVqksxaCxzj0Hb3CrnHdE70KYJC67nu-DAjDGrvha2GRxh6z2RjekN41rt_A0DpDF6b3ro8uHpE9Cz7i8bZOyeP1fDm7ze4fbu5ml_eZkVLpTHAQIGWp02lGcQVQwGrVoJAIWFomSlCs0gIlt8VKcWuM5tI0VaNKpa2VU3L2o7sJ_euYzq_XLhr0Hjrsx1grLotkVpnAky04rtbY1Jvg1hA-6l9bEnC6BSAa8DZAZ1z845KLSie5Kcl_uPfeDxjiix_fMdQtgh_amnGRc1np_1-Sn5-pgoc</recordid><startdate>200201</startdate><enddate>200201</enddate><creator>Gepstein, Reuven</creator><creator>Leitner, Yossi</creator><creator>Zohar, Edna</creator><creator>Angel, Itzach</creator><creator>Shabat, Shai</creator><creator>Pekarsky, Ilia</creator><creator>Friesem, Tye</creator><creator>Folman, Yoram</creator><creator>Katz, Amiram</creator><creator>Fredman, Brian</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200201</creationdate><title>Effectiveness of the Charleston Bending Brace in the Treatment of Single-Curve Idiopathic Scoliosis</title><author>Gepstein, Reuven ; Leitner, Yossi ; Zohar, Edna ; Angel, Itzach ; Shabat, Shai ; Pekarsky, Ilia ; Friesem, Tye ; Folman, Yoram ; Katz, Amiram ; Fredman, Brian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3378-21a2a3368448c717aa5abbde23eae6f026a70982e31f5b71fcc813cd9d7678ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Braces - utilization</topic><topic>Chi-Square Distribution</topic><topic>Child</topic><topic>Diseases of the osteoarticular system</topic><topic>Diseases of the spine</topic><topic>Equipment Design</topic><topic>Equipment Safety</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Long-Term Care</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthotic Devices - utilization</topic><topic>Probability</topic><topic>Retrospective Studies</topic><topic>Scoliosis - diagnosis</topic><topic>Scoliosis - rehabilitation</topic><topic>Sensitivity and Specificity</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gepstein, Reuven</creatorcontrib><creatorcontrib>Leitner, Yossi</creatorcontrib><creatorcontrib>Zohar, Edna</creatorcontrib><creatorcontrib>Angel, Itzach</creatorcontrib><creatorcontrib>Shabat, Shai</creatorcontrib><creatorcontrib>Pekarsky, Ilia</creatorcontrib><creatorcontrib>Friesem, Tye</creatorcontrib><creatorcontrib>Folman, Yoram</creatorcontrib><creatorcontrib>Katz, Amiram</creatorcontrib><creatorcontrib>Fredman, Brian</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gepstein, Reuven</au><au>Leitner, Yossi</au><au>Zohar, Edna</au><au>Angel, Itzach</au><au>Shabat, Shai</au><au>Pekarsky, Ilia</au><au>Friesem, Tye</au><au>Folman, Yoram</au><au>Katz, Amiram</au><au>Fredman, Brian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of the Charleston Bending Brace in the Treatment of Single-Curve Idiopathic Scoliosis</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2002-01</date><risdate>2002</risdate><volume>22</volume><issue>1</issue><spage>84</spage><epage>87</epage><pages>84-87</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>The purpose of this study was to determine the effectiveness of the Charleston bending brace when compared with the thoracolumbosacral orthosis (TLSO or Boston) brace in the treatment of single-curve adolescent-type idiopathic scoliosis. The Charleston and TLSO braces were applied for approximately 8 nighttime hours and 18 to 22 hours per day, respectively. Treatment success was defined as improvement of curve deterioration with <5° progression from the start of brace therapy until the conclusion of treatment, as well as the absence for the need to perform corrective surgery. The success rates were determined by Risser stage, initial angle, type of curvature, and sex of the patient. In addition, the success rate of the Charleston brace was assessed by analyzing the degree of initial correction. One hundred twenty-two patients (94 girls, 28 boys) were studied. Eighty-five patients were treated with the Charleston brace and 37 with the TLSO brace. Mean Cobb angle of curvature before bracing was 30.4°. The curvature was lumbar in 60 patients, thoracic in 56, and thoracolumbar in 6. The average follow-up time was 23 months, with a minimum follow-up of 1 year. Surgery was performed in 11.8% and 13.5% of patients in the Charleston and TLSO groups, respectively. In this patient population, no significant difference in success rate was found between the groups.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11744860</pmid><doi>10.1097/00004694-200201000-00018</doi><tpages>4</tpages></addata></record> |
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subjects | Adolescent Biological and medical sciences Braces - utilization Chi-Square Distribution Child Diseases of the osteoarticular system Diseases of the spine Equipment Design Equipment Safety Female Follow-Up Studies Humans Long-Term Care Male Medical sciences Orthotic Devices - utilization Probability Retrospective Studies Scoliosis - diagnosis Scoliosis - rehabilitation Sensitivity and Specificity Treatment Outcome |
title | Effectiveness of the Charleston Bending Brace in the Treatment of Single-Curve Idiopathic Scoliosis |
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