Use of dynamic spinal brace in the management of neuromuscular scoliosis: a preliminary report.
Neuromuscular scoliosis is difficult to treat with braces because the collapsing trunk with the spinal deformity cannot tolerate the hard materials used for most orthoses. The dynamic spinal brace (DSB) is a novel three-point support brace used in Japan. We present our preliminary findings of 52 pediatric patients with neuromuscular scoliosis treated using DSBs. A positive correlation was found between the Cobb angle at the initiation of bracing and the degree of scoliosis progression. We concluded that DSBs may be effective for early-stage scoliosis. We also found that DSB improved sitting stability and thereby caregiver satisfaction.
aDepartment of Pediatric Orthopedic Surgery, Kanagawa Children's Medical Center bDepartment of Orthopedic Surgery, Odawara Municipal Hospital cDepartment of Orthopedic Surgery, Yokohama City University, Yokohama City, Japan.
Naoyuki
N
Nakamura
Masaaki
M
Uesugi
Yutaka
Y
Inaba
Jiro
J
Machida
Shigeharu
S
Okuzumi
Tomoyuki
T
Saito
D000293:Adolescent; D002547:Cerebral Palsy / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D009468:Neuromuscular Diseases / Q000150:complications* / Q000151:congenital; D012600:Scoliosis / Q000209:etiology / Q000628:therapy*