title: Impact of orthoses on the rate of scoliosis progression in children with cerebral palsy.
abstract: This study was undertaken to determine the impact of spinal bracing on curve pattern and the rate of progression of neuromuscular scoliosis in children with cerebral palsy. Twenty-one patients were treated with a Wilmington custom-molded orthosis with 23 h a day brace wear for a mean bracing period of 67 months (range, 22-173). Twenty-two patients had a similar follow-up to spinal fusion but had no bracewear. Patients who were braced had a scoliosis that reached a magnitude of 50 degrees at a mean 12.5 years, compared with a mean age of 14 years for those who were not braced (p > 0.05). Spinal orthotics had no impact on scoliosis curve, shape, or rate of progression in spastic quadriplegic patients who were followed-up on fusion. Apical vertebral rotation > 2 (Nash and Moe criteria) is an indicator of impending rapid progression of the scoliosis curve.
authors.affiliation: Alfred I. duPont Institute, Wilmington, Delaware 19899, USA.
authors.forename: A
authors.initials: A
authors.lastname: Miller
authors.forename: T
authors.initials: T
authors.lastname: Temple
authors.forename: F
authors.initials: F
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D018450:Disease Progression; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009989:Orthotic Devices / Q000009:adverse effects; D011379:Prognosis; D011859:Radiography; D012307:Risk Factors; D012600:Scoliosis / Q000209:etiology / Q000503:physiopathology* / Q000628:therapy*; D013131:Spine / Q000000981:diagnostic imaging / Q000503:physiopathology