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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...

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Autores principales: Piazzolla, Andrea, Bizzoca, Davide, Solarino, Giuseppe, Brayda-Bruno, Marco, Tombolini, Giuseppe, Ariagno, Alessio, Moretti, Biagio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
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.
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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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