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An, Gong, and Cho: Correction in Rotational Deformity with Thoracolumbosacral Orthosis in Idiopathic Scoliosis
Original Article

Journal of Korean Spine Surg 2009;16(3):173-176.

Published online: 21 February 2009

DOI: https://doi.org/10.4184/jkss.2009.16.3.173

Correction in Rotational Deformity with Thoracolumbosacral Orthosis in Idiopathic Scoliosis

Ki Chan An, M.D., Kyu Min Gong, M.D.#, , Hyeon Guk Cho, M.D.#

Department of Orthopedic Surgery, Inje University, Pusan, Korea

#Department of Orthopedic Surgery, Sunlin Hospital, Pohang, Korea

Address reprint requests to Kyu Min Gong, M.D. Department of Orthopedic Surgery, Sunlin Hospital, Pohang, Korea 69-7 Daesin-dong, Pohang, 791-704, Korea Tel: 82-54-245-5164, Fax: 82-54-245-5311, E-mail: efvan@hanmail.net

Received 2 February 2009       Accepted 25 August 2009

Copyright © 2009 Korean Society of Spine Surgery

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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 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.

Keywords: Idiopathic scoliosis, TLSO brace, Rotational deformity

REFERENCES

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.
crossref
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.

Table 1.
Location of scoliosis
Thoracic 7
Thoracolumbar 20
Lumbar 26
Total 53
Table 2.
Change of rotational deformity of scoliosis after bracing. (Perdriolle's method)
T TL L 계
호전 0 1 1 2
악화 1 4 3 8
변화없음 6 15 22 43
계 7 20 26 53

Wilcoxon Signed Ranks Test, Z=-0.873, p=0.385

Table 3.
Change of rotational deformity of scoliosis after bracing. (Nash & Moe method)
T TL L 계
호전 0 1 2 3
악화 0 2 2 4
변화없음 7 17 22 46
계 7 20 26 53

Wilcoxon Signed Ranks Test, Z=-0.924, p=0.388

Table 4.
Wilcoxon Signed Ranks Test 검정결과(p-value)
남성 여성 합계
Perdriolle's method 1.000 0.347 0.392
Nash & Moe method 0.354 0.576 0.422
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