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Scoliosis and Spinal Disorders

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Open Access

Comparison of in-brace correction between a (TLSO) using a floating pad with adjustable straps and a standard anterior open TLSO with no window openings for the treatment of congenital and infantile scoliosis: a case series

Scoliosis20138(Suppl 2):O52

https://doi.org/10.1186/1748-7161-8-S2-O52

Published: 18 September 2013

Background

Many styles of TLSOs can be used in the treatment of congenital and infantile scoliosis. A standard anterior open TLSO design with no window openings is one of the more common styles. A specific TLSO called the “Kalibus” was developed for the treatment of congenital scoliosis in very young children. The Kalibus consists of a rigid pelvic section, a floating pad with adjustable tension straps with a large opening opposite the pad and a rigid shoulder cuff. Typically, an inflexible spine characterizes congenital scoliosis, however, evaluating supine traction x-rays can determine spine flexibility as well as whether bracing is a treatment option to reduce some of the flexible deformities of the curve(s).

Purpose

This study compared the in-brace x-ray correction between a Kalibus-style TLSO and a standard anterior open design with no window openings.

Methods

For this study, three children (ages 2 years 8 months, 20 months and 11 months), two with a diagnosis of congenital scoliosis with some flexibility observed in traction x-rays and one with infantile scoliosis, were treated with both a Kalibus-style TLSO and a standard anterior open TLSO with no window openings. Initial in-brace x-rays were evaluated by one orthopedic surgeon.

Results

The standard anterior open TLSO provided corrections of 7 degrees and 8 degrees in the congenital scoliosis patients and 3 degrees in the infantile scoliosis patient. The Kalibus-style TLSO provided corrections of 0 degrees and 7 degrees in the congenital scoliosis patients and 0 degrees in the infantile scoliosis patient.

Conclusions and discussion

In this case series of three patients, the standard anterior open TLSO with no window openings produced greater in-brace correction than the Kalibus-style TLSO with a floating, adjustable pad with an opening opposite the pad. Additionally, we found that parents preferred the standard anterior open design as it was easier to manage than the Kalibus style.

Authors’ Affiliations

(1)
Scheck and Siress Orthotics and Prosthetics

References

  1. Trobisch PD, Samdani A, O’Neil C, Betz R, Cahill P: Therapeutic success of conservative therapy in severe infantile idiopathic scoliosis. Journal of Ortho and Traumatology. 2012, 150 (1): 52-55.Google Scholar

Copyright

© Speers and Fisher; licensee BioMed Central Ltd. 2013

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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