Volume 7 Supplement 1

8th International Conference on Conservative Management of Spinal Deformities and SOSORT 2011 Annual Meeting

Open Access

Controversial Issue Session: Brace treatment in infantile scoliosis: brace treatment problems

  • FJ Sánchez Pérez-Grueso1
Scoliosis20127(Suppl 1):O75

DOI: 10.1186/1748-7161-7-S1-O75

Published: 27 January 2012

Orthotic treatment of infantile scoliosis represents a challenge:
  1. 1.

    Most of them are progressive

     
  2. 2.

    Different etiologies

     
  3. 3.

    Associated diseases

     
  4. 4.

    Smaller size anatomy

     
  5. 5.

    Immature rib cage

     

Types:

1. Braces

• Do not provide immediate correction

• Treatment aimed to “hold” the spine and prevent further progression

• Risk of chest deformity in case of braces constricting the thorax

• Literature does not support the efficacy of braces in the treatment of infantile scoliosis

• Poor compliance (Parents)

2. Casts/Braces under traction

• Provide correction. Sometimes scoliosis can be reversed by early treatment with serial corrective plaster jackets in children with mild curves and at an early age (under age two)

• Immature rib cage often deforms before significant correction is transmitted to the spine

• May provoke skin problems

• They may reduce the deformity but not reverse it

• Main goal: delay surgery as much as possible

• Braces under traction diminish cast complications with the same efficacy in the long term

Authors’ Affiliations

(1)
Hospital de la Paz

Copyright

© Sánchez Pérez-Grueso; licensee BioMed Central Ltd. 2012

This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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