Scoliosis and Spinal Disorders最新文献

{"title":"Neck and back problems in adults with idiopathic scoliosis diagnosed in youth: an observational study of prevalence, change over a mean four year time period and comparison with a control group.","authors":"Christos Topalis,&nbsp;Anna Grauers,&nbsp;Elias Diarbakerli,&nbsp;Aina Danielsson,&nbsp;Paul Gerdhem","doi":"10.1186/s13013-017-0125-z","DOIUrl":"https://doi.org/10.1186/s13013-017-0125-z","url":null,"abstract":"<p><strong>Background: </strong>The knowledge is sparse concerning neck problems in patients with idiopathic scoliosis. This is an observational study including a control group which aims to describe the prevalence of neck problems and the association with back problems among adult individuals with and without idiopathic scoliosis.</p><p><strong>Methods: </strong>One thousand sixty-nine adults with a mean age of 40 years, diagnosed with idiopathic scoliosis in youth, answered a questionnaire on neck and back problems. Eight hundred seventy of these answered the same questionnaire at a second occasion in a mean of 4 years later. Comparisons were made with a cross-sectional population-based survey of 158 individuals. Statistical analyses were made with logistic regression or analysis of variance, adjusted for age, smoking status, and sex.</p><p><strong>Results: </strong>Individuals with scoliosis were previously untreated (<i>n</i> = 374), brace treated (<i>n</i> = 451), or surgically treated (<i>n</i> = 244). Of the individuals with scoliosis, 42% (<i>n</i> = 444) had neck problems compared to 20% (<i>n</i> = 32) of the controls (<i>p</i> = 0.001). The prevalence of neck problems was not affected by the type of treatment (<i>p</i> = 0.67) or onset of scoliosis; juvenile (<i>n</i> = 159) or adolescent (<i>n</i> = 910; <i>p</i> = 0.68). Neck and/or back problems were experienced by 72% of the individuals with scoliosis and 37% of the controls (<i>p</i> < 0.001). Of the individuals with scoliosis having neck problems, 81% also reported back problems, compared to 59% of the individuals in the control group (<i>p</i> < 0.001). The prevalence of neck and back problems was similar at the second survey.</p><p><strong>Conclusions: </strong>Neck problems are more prevalent and more often coexist with back problems in individuals with idiopathic scoliosis than in controls. The majority of individuals have persisting problems over time.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2017-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0125-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35090217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of instrumentation failures after three column osteotomies of the spine.","authors":"Niranjan Kavadi,&nbsp;Richard A Tallarico,&nbsp;William F Lavelle","doi":"10.1186/s13013-017-0127-x","DOIUrl":"https://doi.org/10.1186/s13013-017-0127-x","url":null,"abstract":"<p><strong>Background: </strong>Correction of fixed spinal imbalance in a sagittal and/or coronal plane frequently needs a tricolumnar wedge resection when the deformity is rigid. Complications associated with deformity correction surgery are pseudoarthrosis and implant failure located along the construct. The purposes of this study were to assess comparative rates of pseudoarthrosis (implant failure) at weaker points along lumbosacral junction and level of osteotomy, estimate overall incidence of implant failure, and comparatively analyze failures at different points along the construct.</p><p><strong>Methods: </strong>This was an IRB approved, single center study retrospective analysis. Twenty-six patients who underwent three column osteotomies were grouped according to procedure: pedicle subtraction osteotomy (PSO, (<i>n</i> = 18)); vertebral column resection (VCR, (<i>n</i> = 4)); hemivertebra excision (HE, (<i>n</i> = 2)); and extracavitary corpectomy (EC, (<i>n</i> = 2)). Follow-up data is presented on all of the study patients. Number of levels of fusion, anchors, percent saturation of fixation levels, type of bone graft and graft substitutes, and rod material and diameter were recorded. Radiographical data was reviewed preoperatively and postoperatively at 2 weeks and 3, 6, and 12 months and annually to determine sagittal and coronal balance, lumbopelvic parameters, presence or absence of interbody structural support, laterality or rod failure, and time to implant failure.</p><p><strong>Results: </strong>Twenty-seven percent (7/26) patients demonstrated rod breakage either unilaterally (<i>N</i> = 2) or bilaterally (<i>N</i> = 5) during follow-up. Seventy-one percent had increasing back pain or worsening sagittal balance, while remaining failures found incidentally. No failures in children were seen.</p><p><strong>Conclusion: </strong>Tricolumnar osteotomy by posterior approach is a valuable tool. Rod failures found approximately 1 year from surgery, with 86% located at level of osteotomy and 14% at lumbosacral junction. Possible reasons are increased stress in the rod at this point and relatively deficient bone stock secondary to wide laminectomy. The low rate of rod breakage at lumbosacral junction may be related to adoption of structural interbody graft and stronger iliac screws. Additional biomechanical studies needed to assess the importance of these factors. This was a level IV study.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"19"},"PeriodicalIF":0.0,"publicationDate":"2017-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0127-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35069452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"13th International Conference on Conservative Management of Spinal Deformities and First Joint Meeting of the International Research Society on Spinal Deformities and the Society on Scoliosis Orthopaedic and Rehabilitation Treatment – SOSORT-IRSSD 2016 meeting","authors":"A. Bagheri, Xue-Cheng Liu, Amie Chaloupka, M. Pietrosanu, Emily Redford, Sheri Schmidt, K. Vlasis, Konstantinos Michas, E. Tam, F. Yu, V. Hung, J. Griffith, Cindy Xue, Lin Shi, Jean-Philippe Pialasse, Judy Y. H. Wong, B. K. Ng, Q. N. Vo, L. Le, E. Lou, M. Moreau, J. Mahood, Arnaud Brignol, F. Cheriet, M. Miron, C. Laporte, Ze-zhang Zhu, B. Qian, Derek Rosol, P. North, F. Pesenti, L. Persani, P. Capodaglio, N. Polli, B. Yip, F. Yu, V. Hung, L. Qin, G. C. Man, P. Harasymczuk, M. Andrusiewicz, P. Janusz, P. Biecek, T. Kotwicki, M. Kotwicka, Huanxiong Chen, W. Lee, Jiajun Zhang, E. Tam, G. C. Man, T. Lam, B. K. Ng, J. Cheng, Mark S. Schwartz, S. Gilday, Lindsay Schultz, Sara O’Hara, Xiaoyu Wang, D. Crandall, Noelle A. Larson, C. Aubin, L. Lukenchuk, Matthew Kerslake, G. Huynh, J. Chorney, B. Tsui, D. Tobert, J. Hyman, B. Roye, M. Bradley, Amelia M. Lindgren, Sarah Dupuis, C. Caouette, N. Jevtić, A. Hennes, M. Pantović, F. Falciglia, A. Rougelot, Marie-Eva Pickering, E. Chaléat-Valayer, R. Webb, Barbara Neil, ","doi":"10.1186/s13013-017-0124-0","DOIUrl":"https://doi.org/10.1186/s13013-017-0124-0","url":null,"abstract":"","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0124-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43532602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Onset and remodeling of coronal imbalance after selective posterior thoracic fusion for Lenke 1C and 2C adolescent idiopathic scoliosis (a pilot study).","authors":"Masayuki Ishikawa,&nbsp;Kai Cao,&nbsp;Long Pang,&nbsp;Nobuyuki Fujita,&nbsp;Mitsuru Yagi,&nbsp;Naobumi Hosogane,&nbsp;Takashi Tsuji,&nbsp;Masafumi Machida,&nbsp;Shinichi Ishihara,&nbsp;Makoto Nishiyama,&nbsp;Yasuyuki Fukui,&nbsp;Masaya Nakamura,&nbsp;Morio Matsumoto,&nbsp;Kota Watanabe","doi":"10.1186/s13013-017-0123-1","DOIUrl":"https://doi.org/10.1186/s13013-017-0123-1","url":null,"abstract":"<p><strong>Background: </strong>Postoperative coronal imbalance is a significant problem after selective thoracic fusion for primary thoracic and compensatory lumbar curves in adolescent idiopathic scoliosis (AIS). However, longitudinal studies on postoperative behavior of coronal balance are lacking. This multicenter retrospective study was conducted to analyze factors related to onset and remodeling of postoperative coronal imbalance after posterior thoracic fusion for Lenke 1C and 2C AIS.</p><p><strong>Methods: </strong>Twenty-one Lenke 1C or 2C AIS patients, who underwent posterior thoracic fusion ending at L3 or above, were included with a minimum 2-year follow-up. The mean patients' age was 15.1 years at the time of surgery. Radiographic measurements were performed on Cobb angles of the main thoracic (MT) and thoracolumbar/lumbar (TLL) curves and coronal balance. Factors related to the onset of immediately postoperative coronal decompensation (IPCD) and postoperative coronal balance remodeling (PCBR), defined as an improvement of coronal balance during postoperative follow-up, were investigated using comparative and correlation analyses.</p><p><strong>Results: </strong>Mean Cobb angles for the MT and TLL curves were 57.3° and 42.3° preoperatively and were corrected to 22.8° and 22.5° at final follow-up, respectively. Mean preoperative coronal balance of -3.8 mm got worse to -21.2 mm postoperatively, and regained to -12.0 mm at final follow-up. Coronal decompensation was observed in two patients preoperatively, in ten patients immediately postoperatively, and in three patients at final follow-up. The preoperative coronal balance and lowest instrumented vertebra (LIV) selection relative to stable vertebra (SV) were significantly different between patients with IPCD and those without. PCBR had significantly negative correlation with immediately postoperative coronal balance.</p><p><strong>Conclusions: </strong>IPCD after posterior thoracic fusion for Lenke 1C and 2C AIS was frequent and associated with preoperative coronal balance and LIV selection. However, most patients with IPCD regained coronal balance through PCBR, which was significantly associated with immediately postoperative coronal balance. A fixation more distal to SV shifted the coronal balance further to the left postoperatively.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2017-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0123-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35006989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Curve flexibility in cerebral palsy-related neuromuscular scoliosis: does the intraoperative prone radiograph reveal more flexibility than preoperative radiographs?","authors":"Zubair Chaudry,&nbsp;John T Anderson","doi":"10.1186/s13013-017-0122-2","DOIUrl":"https://doi.org/10.1186/s13013-017-0122-2","url":null,"abstract":"<p><strong>Background: </strong>Spinal flexibility is determined preoperatively by manipulating the spine and assessing, radiographically, to what extent the amount of deformity reduces. Quantifying spinal flexibility is important when determining the approach to the planned operation in order to achieve the most optimal spinal correction and balance. Currently, supine traction radiography is a popular method used in patients with severe, cerebral palsy-related neuromuscular scoliosis. The different methods for determining spinal flexibility have been studied extensively in the adolescent idiopathic scoliosis population. No such studies exist in the cerebral palsy population. The purpose of this study was to determine how predictive the intraoperative prone radiograph is in determining spinal flexibility in patients with severe, cerebral palsy related neuromuscular scoliosis.  Furthermore, the intraoperative prone radiograph was compared to the preoperatively acquired supine and supine traction radiographs.</p><p><strong>Methods: </strong>Twenty-five consecutive patients with severe, cerebral palsy-related neuromuscular scoliosis were studied. The Cobb angles of the preoperative supine, preoperative supine traction, and intraoperative prone radiograph were measured and compared. The flexibility indices of these radiographs were calculated and compared. Traction was not applied during acquisition of the intraoperative prone radiograph. The radiograph was taken during the exposure to localize surgical levels, prior to instrumentation.</p><p><strong>Results: </strong>The supine traction radiograph and the intraoperative prone radiograph had higher flexibility indices than the preoperative supine radiograph. These comparisons were statistically significant. The comparison between the flexibility indices of the supine traction radiograph and intraoperative prone radiograph was not statistically significant. When looking at the preoperative supine traction radiograph separately, it was noted that the process of instrumentation led to 30% more correction of the Cobb angle.</p><p><strong>Conclusions: </strong>The intraoperative prone radiograph is more predictive of spinal flexibility in patients with severe scoliosis related to cerebral palsy when compared to the preoperative supine radiograph but not the preoperative supine traction radiograph. The preoperative supine traction radiograph serves as the optimal method for determining spinal flexibility in patients with severe, cerebral palsy-related neuromuscular scoliosis.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"15"},"PeriodicalIF":0.0,"publicationDate":"2017-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0122-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34970348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Low back pain in older adults: risk factors, management options and future directions.","authors":"Arnold YL Wong, Jaro Karppinen, Dino Samartzis","doi":"10.1186/s13013-017-0121-3","DOIUrl":"10.1186/s13013-017-0121-3","url":null,"abstract":"<p><p>Low back pain (LBP) is one of the major disabling health conditions among older adults aged 60 years or older. While most causes of LBP among older adults are non-specific and self-limiting, seniors are prone to develop certain LBP pathologies and/or chronic LBP given their age-related physical and psychosocial changes. Unfortunately, no review has previously summarized/discussed various factors that may affect the effective LBP management among older adults. Accordingly, the objectives of the current narrative review were to comprehensively summarize common causes and risk factors (modifiable and non-modifiable) of developing severe/chronic LBP in older adults, to highlight specific issues in assessing and treating seniors with LBP, and to discuss future research directions. Existing evidence suggests that prevalence rates of severe and chronic LBP increase with older age. As compared to working-age adults, older adults are more likely to develop certain LBP pathologies (e.g., osteoporotic vertebral fractures, tumors, spinal infection, and lumbar spinal stenosis). Importantly, various age-related physical, psychological, and mental changes (e.g., spinal degeneration, comorbidities, physical inactivity, age-related changes in central pain processing, and dementia), as well as multiple risk factors (e.g., genetic, gender, and ethnicity), may affect the prognosis and management of LBP in older adults. Collectively, by understanding the impacts of various factors on the assessment and treatment of older adults with LBP, both clinicians and researchers can work toward the direction of more cost-effective and personalized LBP management for older people.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2017-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0121-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34935885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biomechanical effect of pedicle screw distribution in AIS instrumentation using a segmental translation technique: computer modeling and simulation.","authors":"Xiaoyu Wang,&nbsp;A Noelle Larson,&nbsp;Dennis G Crandall,&nbsp;Stefan Parent,&nbsp;Hubert Labelle,&nbsp;Charles G T Ledonio,&nbsp;Carl-Eric Aubin","doi":"10.1186/s13013-017-0120-4","DOIUrl":"https://doi.org/10.1186/s13013-017-0120-4","url":null,"abstract":"<p><strong>Background: </strong>Efforts to select the appropriate number of implants in adolescent idiopathic scoliosis (AIS) instrumentation are hampered by a lack of biomechanical studies. The objective was to biomechanically evaluate screw density at different regions in the curve for AIS correction to test the hypothesis that alternative screw patterns do not compromise anticipated correction in AIS when using a segmental translation technique.</p><p><strong>Methods: </strong>Instrumentation simulations were computationally performed for 10 AIS cases. We simulated simultaneous concave and convex segmental translation for a reference screw pattern (bilateral polyaxial pedicle screws with dorsal height adjustability at every level fused) and four alternative patterns; screws were dropped respectively on convex or concave side at alternate levels or at the periapical levels (21 to 25% fewer screws). Predicted deformity correction and screw forces were compared.</p><p><strong>Results: </strong>Final simulated Cobb angle differences with the alternative screw patterns varied between 1° to 5° (39 simulations) and 8° (1 simulation) compared to the reference maximal density screw pattern. Thoracic kyphosis and apical vertebral rotation were within 2° of the reference screw pattern. Screw forces were 76 ± 43 N, 96 ± 58 N, 90 ± 54 N, 82 ± 33 N, and 79 ± 42 N, respectively, for the reference screw pattern and screw dropouts at convex alternate levels, concave alternate levels, convex periapical levels, and concave periapical levels. Bone-screw forces for the alternative patterns were higher than the reference pattern (<i>p</i> < 0.0003). There was no statistical bone-screw force difference between convex and concave alternate dropouts and between convex and concave periapical dropouts (<i>p</i> > 0.28). Alternate dropout screw forces were higher than periapical dropouts (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>Using a simultaneous segmental translation technique, deformity correction can be achieved with 23% fewer screws than maximal density screw pattern, but resulted in 25% higher bone-screw forces. Screw dropouts could be either on the convex side or on the concave side at alternate levels or at periapical levels. Periapical screw dropouts may more likely result in lower bone-screw force increase than alternate level screw dropouts.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2017-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0120-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34930528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An observational study on surgically treated adult idiopathic scoliosis patients' quality of life outcomes at 1- and 2-year follow-ups and comparison to controls.","authors":"Jennifer C Theis,&nbsp;Anna Grauers,&nbsp;Elias Diarbakerli,&nbsp;Panayiotis Savvides,&nbsp;Allan Abbott,&nbsp;Paul Gerdhem","doi":"10.1186/s13013-017-0118-y","DOIUrl":"https://doi.org/10.1186/s13013-017-0118-y","url":null,"abstract":"<p><strong>Background: </strong>Prospective data on health-related quality of life in patients with idiopathic scoliosis treated surgically as adults is needed. We compared preoperative and 1- and 2-year follow-up data in surgically treated adults with idiopathic scoliosis with juvenile or adolescent onset. Results were compared to untreated adults with scoliosis and population normative data.</p><p><strong>Methods: </strong>A comparison of preoperative and 1- and 2-year follow-up data of 75 adults surgically treated for idiopathic scoliosis at a mean age of 28 years (range 18 to 69) from a prospective national register study, as well as a comparison with age- and sex-matched data from 75 untreated adults with less severe scoliosis and 75 adults without scoliosis, was made. Outcome measures were EuroQol-5 dimensions (EQ-5D) and Scoliosis Research Society (SRS)-22r questionnaire.</p><p><strong>Results: </strong>In the surgically treated, EQ-5D and SRS-22r scores had statistically significant improvements at both 1- and 2-year follow-ups (all <i>p</i>  < 0.015). The effect size of surgery on EQ-5D at 1-year follow-up was large (<i>r</i> = -0.54) and small-medium (<i>r</i> = -0.20) at 2-year follow-up. The effect size of surgery on SRS-22r outcomes was medium-large at 1- and 2-year follow-ups (<i>r</i> = -0.43 and <i>r</i> = -0.42 respectively). At the 2-year follow-up, the EQ-5D score and the SRS-22r subscore were similar to the untreated scoliosis group (<i>p</i> = 0.56 and <i>p</i> = 0.91 respectively), but lower than those in the adults without scoliosis (<i>p</i> < 0.001 for both comparisons).</p><p><strong>Conclusions: </strong>Adults with idiopathic scoliosis experience an increase in health-related quality of life following surgery at 2-year follow-up, approaching the health-related quality of life of untreated individuals with less severe scoliosis, but remain lower than normative population data.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2017-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0118-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34917672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents with idiopathic scoliosis and their parents have a positive attitude towards the Thermobrace monitor: results from a survey.","authors":"Sabrina Donzelli,&nbsp;Fabio Zaina,&nbsp;Gregorio Martinez,&nbsp;Francesca Di Felice,&nbsp;Alberto Negrini,&nbsp;Stefano Negrini","doi":"10.1186/s13013-017-0119-x","DOIUrl":"https://doi.org/10.1186/s13013-017-0119-x","url":null,"abstract":"<p><strong>Background: </strong>A temperature monitor is used to objectively measure brace wear time in adolescent idiopathic scoliosis. The reliability of this device have been demonstrated, and some specialists introduced the use of a compliance monitor as a standard of care in everyday clinical practice, as we did since 2010 with the Thermobrace (TB). The attitude towards these objective monitors has never been investigated. The present study aims to investigate the attitude of parents and patients towards the use of temperature sensors for measuring brace wear compliance.</p><p><strong>Methods: </strong>Three hundred one consecutive girls and 63 boys and their parents have been interviewed. The inclusion criteria were as follows: brace wear full-time prescription at first visit and at least one visit with download and discussion of TB data. Usefulness, acceptability, reliability, and feeling related to data download were the investigated domains. Patients were invited by the administrative staff to complete anonymously the questionnaire. The European Commission was informed about the present survey and approved it (ICT-37-2015-1). Descriptive statistic was used to present the results.</p><p><strong>Results: </strong>Among the 364 invited patients and parents, 336 adhered by completing it (rate of responders was 93.2%). The mean age was 14.65 (SD 2.36), the mean Cobb angle was 34.18 (SD 13.57), and the average brace wear prescription was 21.76 h per day (SD 2.53). We did not ask parents about their age, profession, nor other personal data. Globally, the interviewed patients and parents showed a very positive attitude towards the TB monitor: the mean rate of parents stating a completely or at least partially positive attitude towards this electronic device was 94.0% while among patients, it was 85.6%.</p><p><strong>Conclusions: </strong>This is the first study investigating the attitude of parents and patients towards a brace wear compliance monitor. People who experienced this objective monitoring are aware of the advantages related to it and support its usefulness not only for clinicians but also for patients and parents to respect the hours prescribed without any affection on the children and parents or the patient-physician relationship. The present results should encourage the spread of these tools in daily clinical practice.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2017-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0119-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34911820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of the Rigo Chêneau versus Boston-style orthoses for adolescent idiopathic scoliosis: a retrospective study.","authors":"Miriam K Minsk,&nbsp;Kristen D Venuti,&nbsp;Gail L Daumit,&nbsp;Paul D Sponseller","doi":"10.1186/s13013-017-0117-z","DOIUrl":"https://doi.org/10.1186/s13013-017-0117-z","url":null,"abstract":"<p><strong>Background: </strong>Bracing can effectively treat adolescent idiopathic scoliosis (AIS), but patient outcomes have not been compared by brace type. We compared outcomes of AIS patients treated with Rigo Chêneau orthoses (RCOs) or custom-molded Boston-style thoracolumbosacral orthoses (TLSOs).</p><p><strong>Methods: </strong>We retrospectively reviewed patient records from one scoliosis center from 1999 through 2014. Patients were studied from initial treatment until skeletal maturity or surgery. Inclusion criteria were a diagnosis of AIS, initial major curve between 25° and 40°, use of an RCO or TLSO, and no previous scoliosis treatment.</p><p><strong>Results: </strong>The study included 108 patients (93 girls) with a mean (±standard deviation) age at brace initiation of 12.5 ± 1.3 years. Thirteen patients wore an RCO, and 95 wore a TLSO. Mean pre-bracing major curves were 32.7° ± 4.8° in the RCO group and 31.4° ± 4.4° in the TLSO group (<i>p</i> = 0.387). Mean brace wear time was similar between groups. Mean differences in major curve from baseline to follow-up were -0.4° ± 9.9° in the RCO group and 6.9° ± 12.1° in the TLSO group (<i>p</i> = 0.028). Percent changes in major curve from baseline to follow-up were 0.0% ± 30.5% for the RCO group and 21.3% ± 38.8% for the TLSO group (<i>p</i> = 0.030). No RCO patients and 34% of TLSO patients progressed to spinal surgery (<i>p</i> = 0.019). At follow-up, major curves improved by 6° or more in 31% of the RCO group and 13% of the TLSO group (<i>p</i> = 0.100).</p><p><strong>Conclusions: </strong>Patients treated with RCOs compared with Boston-style TLSOs had similar baseline characteristics and brace wear time yet significantly lower rates of spinal surgery. Patients with RCOs also had lower mean and percent major curve progression versus those with TLSOs.</p>","PeriodicalId":21573,"journal":{"name":"Scoliosis and Spinal Disorders","volume":"12 ","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2017-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13013-017-0117-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34847270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}