RESUMO
The Milwaukee Brace, as evaluated in 123 completed cases, is effective in controlling and correcting mild to moderate idiopathic scoliotic curves. The factors contributing to more correction include dorsal location, younger patients at onset of treatment, more flexible curves, and most important cooperative patients and parents. Less severe curves also achieved greater correction. Loss of correction after brace discontinuance is negligible, due to the fact that weaning and discontinuance were based on the stability of correction after 24 unbraced hours. Patients cooperative with the wearing and exercise program can expect approximately 25 per cent correction in dorsal curves and 20 per cent correction in lumbar curves. Cosmetic improvement can be expected in the majority of patients. Complications are negligible.
Assuntos
Braquetes , Escoliose/terapia , Adolescente , Braquetes/efeitos adversos , Criança , Pré-Escolar , Humanos , Fatores de TempoAssuntos
Obstrução Duodenal/etiologia , Duodeno/irrigação sanguínea , Lordose/complicações , Artérias Mesentéricas , Escoliose/complicações , Adolescente , Adulto , Moldes Cirúrgicos/efeitos adversos , Criança , Feminino , Humanos , Masculino , Complicações Pós-Operatórias , Pressão , Escoliose/cirurgiaRESUMO
We do not know the etiology of the great majority of cases of structural scoliosis with which we are confronted today, namely, the 80 to 90 per cent classified as "idiopathic." Treatment of these cases, once the lateral curvature has developed, must be directed by one knowledgeable in the pathogenesis of scoliosis, the potentialities of these curves in terms of etiology and degree of maturation of the individual, and an awareness of the various methods of treatment. The basic principles of obtaining correction are distraction and the application of corrective forces to the convex side of the curve, by external or internal fixation. Ironically, while our present-day methods are somewhat more refined and sophisticated, these are the same principles that have been utilized since the fifteenth century. We have in the past fifty years added the innovation of fusion of the vertebral segments involved, to maintain the correction that has been attained. Needless to say, we are striving through basic and clinical research to ascertain the cause of idiopathic scoliosis and, at the same time, evolving better methods of efficient and effective correction, and maintaining correction of these deformities, once they have developed.
