Volume 8 Supplement 1
Prospective study of 136 adolescent scoliosis of more than 40° treated with the Lyon brace
- JC De Mauroy1
© De Mauroy; licensee BioMed Central Ltd. 2013
Published: 3 June 2013
Due to a lack of prospective studies, which are difficult to perform, bracing adolescent scoliosis is discussed from 30°, and sometimes surgery is proposed at this angulation. It seems interesting to study the results of scoliosis over 40° with the Lyon brace, and to present the criteria for successful treatment.
To prove the effectiveness of the Lyon conservative treatment in the most difficult conditions. If treatment is effective for scoliosis over 40°, it is even more so for lower angulations.
We selected in our prospective database a cohort of 176 adolescent scoliosis patients with curves over 40° seen between 1998 and 2007. At this angulation, the Lyon management involves 2 plaster casts, each worn for two months, and a full time Lyon brace up to 18 months after the end of the growth, and a specific program of physiotherapy (Lyon method).
A prior treatment (p>0,05).
Early onset scoliosis (EOS) and non-idiopathic scoliosis (p>0,01).
Conservative treatment with Lyon brace and physiotherapy was effective in halting scoliosis progression in 65% of patients including prior treatments. The results of this study confirm that bracing is effective even after 40°. For EOS and non idiopathic, it allows waiting until end of growth for surgery.
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