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Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study

To evaluate the effects of Chêneau bracing on Cobb’s angle (CA) and spinopelvic parameters in adolescent idiopathic scoliosis (AIS) patients. In this retrospective study, we evaluated 51 AIS patients who received Chêneau bracing treatment between January 2020 and August 2021. The prebracing and in-b...

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Autores principales: Li, Kepeng, Ma, Guoju, Zhao, Heyi, Han, Ye, Zuo, Jinzeng, Miao, Jun, Zhang, Jingan, Wang, Xijie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410678/
https://www.ncbi.nlm.nih.gov/pubmed/36042667
http://dx.doi.org/10.1097/MD.0000000000030015
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author Li, Kepeng
Ma, Guoju
Zhao, Heyi
Han, Ye
Zuo, Jinzeng
Miao, Jun
Zhang, Jingan
Wang, Xijie
author_facet Li, Kepeng
Ma, Guoju
Zhao, Heyi
Han, Ye
Zuo, Jinzeng
Miao, Jun
Zhang, Jingan
Wang, Xijie
author_sort Li, Kepeng
collection PubMed
description To evaluate the effects of Chêneau bracing on Cobb’s angle (CA) and spinopelvic parameters in adolescent idiopathic scoliosis (AIS) patients. In this retrospective study, we evaluated 51 AIS patients who received Chêneau bracing treatment between January 2020 and August 2021. The prebracing and in-bracing radiographs were analyzed about the spinopelvic parameters. The CA, pelvic coronal obliquity angle, thoracolumbar kyphosis (TLK), lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), sagittal vertical angle, and coronal vertical angle were measured. Paired t-test was used to compare prebracing and in-bracing spinopelvic parameters. The Pearson correlation analysis was used to identify the relationships between the variations in the spinopelvic parameters. The mean age at the initiation of bracing was 13.6 ± 1.5 years. The mean prebracing CA was 24.0° ± 6.3°. There were no statistically significant differences between prebracing and in-bracing measurements of sagittal and coronal vertical angles. However, there were statistically significant differences between the prebracing and in-bracing measurements of the CA, pelvic coronal obliquity angle, TLK, LL, PT, and SS. A significant correlation was observed between PT and thoracolumbar kyphosis variations in the sagittal plane. The pelvic coronal obliquity angle variation was correlated to the prebracing pelvic coronal obliquity angle in the coronal plane. Chêneau’s bracing effects of AIS can be extended to the pelvis. Affected by the Chêneau brace, the pelvis should be retro-rotated correspondingly to TLK hyperkyphosis on the sagittal plane, whereas in the coronal plane, pelvic obliquity was improved independently. The effect of Chêneau braces on the pelvic parameters should be fully considered before bracing treatment.
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spelling pubmed-94106782022-08-26 Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study Li, Kepeng Ma, Guoju Zhao, Heyi Han, Ye Zuo, Jinzeng Miao, Jun Zhang, Jingan Wang, Xijie Medicine (Baltimore) Research Article To evaluate the effects of Chêneau bracing on Cobb’s angle (CA) and spinopelvic parameters in adolescent idiopathic scoliosis (AIS) patients. In this retrospective study, we evaluated 51 AIS patients who received Chêneau bracing treatment between January 2020 and August 2021. The prebracing and in-bracing radiographs were analyzed about the spinopelvic parameters. The CA, pelvic coronal obliquity angle, thoracolumbar kyphosis (TLK), lumbar lordosis (LL), pelvic incidence (PI), pelvic tilt (PT), sacral slope (SS), sagittal vertical angle, and coronal vertical angle were measured. Paired t-test was used to compare prebracing and in-bracing spinopelvic parameters. The Pearson correlation analysis was used to identify the relationships between the variations in the spinopelvic parameters. The mean age at the initiation of bracing was 13.6 ± 1.5 years. The mean prebracing CA was 24.0° ± 6.3°. There were no statistically significant differences between prebracing and in-bracing measurements of sagittal and coronal vertical angles. However, there were statistically significant differences between the prebracing and in-bracing measurements of the CA, pelvic coronal obliquity angle, TLK, LL, PT, and SS. A significant correlation was observed between PT and thoracolumbar kyphosis variations in the sagittal plane. The pelvic coronal obliquity angle variation was correlated to the prebracing pelvic coronal obliquity angle in the coronal plane. Chêneau’s bracing effects of AIS can be extended to the pelvis. Affected by the Chêneau brace, the pelvis should be retro-rotated correspondingly to TLK hyperkyphosis on the sagittal plane, whereas in the coronal plane, pelvic obliquity was improved independently. The effect of Chêneau braces on the pelvic parameters should be fully considered before bracing treatment. Lippincott Williams & Wilkins 2022-08-26 /pmc/articles/PMC9410678/ /pubmed/36042667 http://dx.doi.org/10.1097/MD.0000000000030015 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal.
spellingShingle Research Article
Li, Kepeng
Ma, Guoju
Zhao, Heyi
Han, Ye
Zuo, Jinzeng
Miao, Jun
Zhang, Jingan
Wang, Xijie
Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study
title Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study
title_full Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study
title_fullStr Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study
title_full_unstemmed Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study
title_short Effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: A retrospective study
title_sort effects of bracing on pelvic parameters in adolescent idiopathic scoliosis: a retrospective study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9410678/
https://www.ncbi.nlm.nih.gov/pubmed/36042667
http://dx.doi.org/10.1097/MD.0000000000030015
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