J Korean Soc Spine Surg.  2009 Sep;16(3):173-176. 10.4184/jkss.2009.16.3.173.

Correction in Rotational Deformity with Thoracolumbosacral Orthosis in Idiopathic Scoliosis

• An KC
• Gong KM
• Cho HG

• KMID: 2003111
• DOI: http://doi.org/10.4184/jkss.2009.16.3.173

Abstract

STUDY DESIGN: Retrospective study
OBJECTIVES
This study examined the effect of a TLSO brace treatment for the correction of axial rotational deformities in idiopathic scoliosis. SUMMARY OF THE LITERATURE REVIEW: A TLSO brace treatment is effective in correcting 2-dimensional deformities of idiopathic scoliosis but is questionable in axial rotational deformities.
MATERIALS AND METHODS
Fifty three cases treated by bracing in March, 1999~February, 2005 at our department were reviewed. The posteroanterior and lateral radiographs were checked in the standing position throughout the study. The change in axial rotational deformity were analyzed using Nash & Moe method and Perdriolle's method.
RESULTS
The rotational deformity had improved in 2 curves, was aggravated in 8 curves, and showed no change in 43 curves with the TLSO brace.
CONCLUSIONS
The TLSO brace treatment in axial rotational deformity of idiopathic scoliosis is not effective in correcting the rotational deformity but is effective in preventing the progress of a rotational deformity.

Keyword

Idiopathic scoliosis; TLSO brace; Rotational deformity

MeSH Terms

Braces
Congenital Abnormalities
Orthotic Devices
Retrospective Studies
Scoliosis

Reference

1). Asher MA, Cook LT. The transverse plane evolution of the most common adolescent idiopathic scoliosis deformities: a cross sectional study of 181 patients. Spine. 1995; 20:1386–1391.

2). Lee CS, Oh WH, Chung SS, Chang DK, Han KY, Kwon KT. The reliability and accuracy of Perdriolle's method on measurement of spinal axial rotation. J of Korean Orthop Assoc. 1997; 32:340–345.

3). Perdriolle R, Vidal J. Morphology of scoliosis: three dimensional evolution. Orthopedics. 1987; 10:909–915.

4). Mehta MH. The radiographic estimation of vertebral rotation in scoliosis. J Bone Joint Surg Br. 1973; 55:513–520.

5). Dickson RA. EDITORIAL, To brace or not to brace? J Bone Joint Surg Br. 1985; 67:173–174.