The Under-Arm Brace for Idiopathic Scoliosis: Follow-up Studies.

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We report our follow-up studies over the past ten years investigating the efficacy of the underarm brace used in 41 patients with idiopathic scoliosis (2 males and 39 females). The average are at the time of bracing was 13.7 years, and the average duration of bracing was 1 year and 4 months. The average Cobb angle was 32.0 degrees before bracing, and 29.8 degrees at follow-up. Progressive vertebral curvature, of 5 degrees or more, was seen in only 6 patients (15%) at follow-up. Progression of scoliosis was not seen in those who at the time of beginning bracing were over 15 years old, or were one year or more after menarche. There was no significant difference in progression of curvature between those wearing the brace full-time and those wearing it only part-time. When the best correction rate was satisfactory, the final correction rate was also inclined to be satisfactory in those wearing the brace full-time, but there were poor results for those wearing it only part-time.We conclude that treatment using the under-arm brace was effective for idiopathic scoliosis.
西日本整形・災害外科学会の論文