• 作者：J.C. Perrot-Gonz¨¢lez ; B. Adell-Serrano ; V.E. Casta?eda-Galeano ; S. G¨¢lvez-Koslowski ; F.J. Santos-Andr¨¦s ; J.J. Aguilar Naranjo
• 关键词：Escoliosis idiop&aacute ; tica ; Ortesis ; Tratamiento conservador ; Evolució ; n ; Progresió ; n
• 刊名：Rehabilitaci¨®n
• 出版年：2013
• 出版时间：July-September, 2013
• 年：2013
• 卷：47
• 期：3
• 页码：131-135
• 全文大小：355 K

Objective

This study has aimed to evaluate the evolution of idiopathic scoliosis treated with a brace and assess its progression in young adults.

Patient and method

A retrospective study of 71 patients with idiopathic scoliosis treated with a brace between years 1978-1996 was conducted. It included patients attending post-discharge visits and excluded those requiring surgery and age >40 years. Two groups were compared: patients in whom the scoliosis had progressed and those in whom it had not progressed. The following variables were studied: a) morphology type and classification of the curve; b) type of scoliosis: adolescent, youth and child; c) Cobb angle value on diagnosis, at end of treatment and at last control; d) brace used; e) orthotic treatment duration; and f) evolution time (between removal of brace and last control).

Statistical analysis

Chi square was used for comparative analysis for categorical variables and the Student's t test for continuous variables with normal distribution. Nonparametric tests were used for all other variables. A statistical significance level of P<.05 was assumed.

Results

The curve progressed in 22 patients (31 % ), with a mean increase of 9.5 (SD: 4.5) during 9.7 years. The group with progression had higher angle values at baseline (dif: 3.9; 95 % CI: ?1.76 to 9..6), end of treatment (dif: 4.8; 95 % CI: ?1.6 to 11.2), which were significant at the last control (dif: 14.5; 95 % CI: 7.9-21.1), with no differences between the other variables studied.

Conclusions

Progression was 2.8¡ã over 8 years. There as no progression in 69 % compared to 31 % who progressed 9.5¡ã.