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Maria Adelaide brace in the management of Scheuermann’s Kyphosis
PURPOSE: This prospective observational study aims to assess the MA brace effectiveness in hyperkyphosis correction, focusing also on patients’ compliance of bracing and its psychological impact. METHODS: Patients referring to our spine outpatient department with Scheuermann’s kyphosis (SK) from Jan...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921048/ https://www.ncbi.nlm.nih.gov/pubmed/33206353 http://dx.doi.org/10.1007/s43390-020-00225-y |
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author | Piazzolla, Andrea Bizzoca, Davide Solarino, Giuseppe Brayda-Bruno, Marco Tombolini, Giuseppe Ariagno, Alessio Moretti, Biagio |
author_facet | Piazzolla, Andrea Bizzoca, Davide Solarino, Giuseppe Brayda-Bruno, Marco Tombolini, Giuseppe Ariagno, Alessio Moretti, Biagio |
author_sort | Piazzolla, Andrea |
collection | PubMed |
description | PURPOSE: This prospective observational study aims to assess the MA brace effectiveness in hyperkyphosis correction, focusing also on patients’ compliance of bracing and its psychological impact. METHODS: Patients referring to our spine outpatient department with Scheuermann’s kyphosis (SK) from January 2011 to January 2017 were prospectively recruited. Patients were divided into two groups, according to their global thoracic kyphosis (TK): Group-A TK(T0) < 60°, Group-B TK(T0) ≥ 60°. The MA brace was prescribed according to SRS criteria. Full spine X-rays were analyzed at conventional times: at the beginning of treatment (T0), at 6-months follow-up (T1, in-brace X-rays), at the end of treatment (T2) and at 2-year minimum follow-up from bracing removal (T3). At T(0), T(2) and T(3) all the patients were assessed using the Italian Version of the SRS-22 Patient Questionnaire (I-SRS22). Variability between and within-groups was assessed; a p value < 0.05 was considered significant. RESULTS: 192 adolescents (87 girls and 105 boys, mean age 13.1) were recruited. The mean global TK at recruitment was 61.9° ± 11.3°, the mean follow-up time was 57.4 months. A good patients’ reported compliance was observed: 84.9% of patients used the brace as scheduled. A mean in-brace correction (in-brace TK(%)) of 37.4% was observed and a mean final correction (TK(%T3)) of 31.6%. At final follow-up (T3), curve reduction (ΔTK ≤ − 5°) was observed in 60.4% of patients and curve stabilization (− 5° < ΔTK < 5) in 29.7% of patients. At baseline, worse SRS22-mental health (p = 0.023) and self-image mean scores (p = 0.001) were observed in Group-B, compared with Group-A. At the end of treatment (T2), an improvement of all items was observed, wit significantly better improvement of self-image domain in Group-B. CONCLUSION: The MA brace has shown to be effective in the management of SK; good patients’ reported compliance and a positive effect on the patients’ mental status were recorded. |
format | Online Article Text |
id | pubmed-7921048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-79210482021-03-19 Maria Adelaide brace in the management of Scheuermann’s Kyphosis Piazzolla, Andrea Bizzoca, Davide Solarino, Giuseppe Brayda-Bruno, Marco Tombolini, Giuseppe Ariagno, Alessio Moretti, Biagio Spine Deform Case Series PURPOSE: This prospective observational study aims to assess the MA brace effectiveness in hyperkyphosis correction, focusing also on patients’ compliance of bracing and its psychological impact. METHODS: Patients referring to our spine outpatient department with Scheuermann’s kyphosis (SK) from January 2011 to January 2017 were prospectively recruited. Patients were divided into two groups, according to their global thoracic kyphosis (TK): Group-A TK(T0) < 60°, Group-B TK(T0) ≥ 60°. The MA brace was prescribed according to SRS criteria. Full spine X-rays were analyzed at conventional times: at the beginning of treatment (T0), at 6-months follow-up (T1, in-brace X-rays), at the end of treatment (T2) and at 2-year minimum follow-up from bracing removal (T3). At T(0), T(2) and T(3) all the patients were assessed using the Italian Version of the SRS-22 Patient Questionnaire (I-SRS22). Variability between and within-groups was assessed; a p value < 0.05 was considered significant. RESULTS: 192 adolescents (87 girls and 105 boys, mean age 13.1) were recruited. The mean global TK at recruitment was 61.9° ± 11.3°, the mean follow-up time was 57.4 months. A good patients’ reported compliance was observed: 84.9% of patients used the brace as scheduled. A mean in-brace correction (in-brace TK(%)) of 37.4% was observed and a mean final correction (TK(%T3)) of 31.6%. At final follow-up (T3), curve reduction (ΔTK ≤ − 5°) was observed in 60.4% of patients and curve stabilization (− 5° < ΔTK < 5) in 29.7% of patients. At baseline, worse SRS22-mental health (p = 0.023) and self-image mean scores (p = 0.001) were observed in Group-B, compared with Group-A. At the end of treatment (T2), an improvement of all items was observed, wit significantly better improvement of self-image domain in Group-B. CONCLUSION: The MA brace has shown to be effective in the management of SK; good patients’ reported compliance and a positive effect on the patients’ mental status were recorded. Springer International Publishing 2020-11-18 2021 /pmc/articles/PMC7921048/ /pubmed/33206353 http://dx.doi.org/10.1007/s43390-020-00225-y Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Case Series Piazzolla, Andrea Bizzoca, Davide Solarino, Giuseppe Brayda-Bruno, Marco Tombolini, Giuseppe Ariagno, Alessio Moretti, Biagio Maria Adelaide brace in the management of Scheuermann’s Kyphosis |
title | Maria Adelaide brace in the management of Scheuermann’s Kyphosis |
title_full | Maria Adelaide brace in the management of Scheuermann’s Kyphosis |
title_fullStr | Maria Adelaide brace in the management of Scheuermann’s Kyphosis |
title_full_unstemmed | Maria Adelaide brace in the management of Scheuermann’s Kyphosis |
title_short | Maria Adelaide brace in the management of Scheuermann’s Kyphosis |
title_sort | maria adelaide brace in the management of scheuermann’s kyphosis |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7921048/ https://www.ncbi.nlm.nih.gov/pubmed/33206353 http://dx.doi.org/10.1007/s43390-020-00225-y |
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