The Sforzesco brace can replace cast in the correction of adolescent idiopathic scoliosis: A controlled prospective cohort study

Stefano Negrini, Salvatore Atanasio, Francesco Negrini, Fabio Zaina, Gianfranco Marchini

Research output: Contribution to journalArticlepeer-review

Abstract

Background: The conservative treatment of adolescent idiopathic scoliosis (AIS) has traditionally been divided into two phases-correction and stabilisation-and casts, even if less used today, can be considered the best standard in the correction phase. Till the present, however, no comparison between cast and brace efficacy has been proposed. Methods: This is a prospective cohort study with a retrospective control group. The aim was to verify if it is possible to obtain with a specifically developed rigid brace results comparable to a cast. We considered fifty AIS patients who had refused surgery, aged 14.1 ± 1.5 years, with 46.7 ± 7.8° Cobb scoliosis. Thirty-two consecutive patients (with no drop-outs) were prospectively followed up with the Sforzesco brace (SBG), and compared against a retrospective group of eighteen patients treated with the Risser cast (RCG). The treatment time (the total correction phase) was 19 ± 3 months. Out-of-brace x-rays were compared, as well as clinical results. Results: Compliance and hours of treatment were higher in the RCG whileall the other parameters were not different. We observed a reduction of 6° Cobb and an important aesthetic gain in both groups (P

Original languageEnglish
Article number15
JournalScoliosis
Volume3
Issue number1
DOIs
Publication statusPublished - Oct 31 2008

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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