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首页> 外文期刊>Scoliosis >A new brace treatment similar for adolescent scoliosis and kyphosis based on restoration of thoracolumbar lordosis. Radiological and subjective clinical results after at least one year of treatment
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A new brace treatment similar for adolescent scoliosis and kyphosis based on restoration of thoracolumbar lordosis. Radiological and subjective clinical results after at least one year of treatment

机译:一种基于胸腰椎前凸恢复的类似青少年脊柱侧凸和后凸畸形的新支架治疗。治疗至少一年后的放射学和主观临床结果

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Study design A prospective treatment study with a new brace was conducted Objective. To evaluate radiological and subjective clinical results after one year conservative brace treatment with pressure onto lordosis at the thoracolumbar joint in children with scoliosis and kyphosis. Summary of background data Conservative brace treatment of adolescent scoliosis is not proven to be effective in terms of lasting correction. Conservative treatment in kyphotic deformities may lead to satisfactory correction. None of the brace or casting techniques is based on sagittal forces only applied at the thoracolumbar spine (TLI= thoracolumbar lordotic intervention). Previously we showed in patients with scoliosis after forced lordosis at the thoracolumbar spine a radiological instantaneous reduction in both coronal curves of double major scoliosis. Methods A consecutive series of 91 children with adolescent scoliosis and kyphosis were treated with a modified symmetric 30 degrees Boston brace to ensure only forced lordosis at the thoracolumbar spine. Scoliosis was defined with a Cobb angle of at least one of the curves [greater than or equal to] 25 degrees and kyphosis with or without a curve Results Before treatment start ‘in brace’ radiographs showed a strong reduction of the Cobb angles in different curves in kyphosis and scoliosis groups (sagittal n = 5 all p Conclusion Conservative treatment using thoracolumbar lordotic intervention in scoliotic and kyphotic deformities in adolescence demonstrates a marked improvement after one year also in clinical and postural criteria. An effect not obtained with current brace techniques.
机译:研究设计目的进行一项采用新支架的前瞻性治疗研究。为了评估脊柱侧凸和后凸畸形患儿对胸腰椎关节前凸施加压力的保守支架治疗一年后的放射学和主观临床结果。背景数据摘要长期矫正方面,保守的支架治疗青少年脊柱侧弯尚未被证明是有效的。脊柱后凸畸形的保守治疗可导致满意的矫正。支撑或铸造技术都不基于仅在胸腰椎脊柱上施加的矢状力(TLI =胸腰椎脊柱前凸介入术)。先前我们在胸腰椎脊柱前凸症患者中发现了脊柱侧弯的双重主要脊柱侧弯的两个冠状曲线的放射学瞬时减少。方法采用改良的对称30度波士顿支具连续治疗91例青少年期脊柱侧弯和后凸畸形患儿,以确保仅在胸腰椎脊柱前凸受压。脊柱侧弯的定义是Cobb角至少为[大于或等于] 25度的一条曲线,而后凸畸形则有或没有弯曲。在后凸畸形和脊柱侧弯组中(矢状位n = 5全部p结论)胸腰椎前凸入路保守治疗青春期的脊柱侧凸和后凸畸形在临床和体位标准上也显示出明显的改善,目前的支架技术尚无此效果。

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