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
Hauptverfasser: Gepstein, Reuven, Leitner, Yossi, Zohar, Edna, Angel, Itzach, Shabat, Shai, Pekarsky, Ilia, Friesem, Tye, Folman, Yoram, Katz, Amiram, Fredman, Brian
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container_title Journal of pediatric orthopaedics
container_volume 22
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 &lt;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 &amp; 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 &amp; 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&amp;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 &lt;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 &amp; 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ispartof Journal of pediatric orthopaedics, 2002-01, Vol.22 (1), p.84-87
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source MEDLINE; Journals@Ovid Complete
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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