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Braces appear to benefit many children with high-risk scoliosis

Stephen Reinberg
Health Day Reporter

Thursday, September 19 (HealthDay News)-For most children who might otherwise need surgery Scoliosis -Spine curvature-Wearing a brace can prevent the condition from getting worse until surgery is needed, a new study says.

In fact, from braces when researchers found that 72% of children using braces improved and surgery was unnecessary, compared to 48% of children who did not use braces. The study was discontinued early due to the positive results of.

Dr. Stuart Waynestein, a senior researcher at the University of Iowa, a professor of orthopedics, said:

“The study also showed that the more children wear the brace and the longer the brace is, the more likely it is that they will succeed in avoiding surgery,” he said. “We found that children who wore braces for more than 13 hours a day had significantly better results in preventing surgery than those who wore them for shorter periods of time.”

Many types Braces According to it exists for children Scoliosis Study Group. According to the Society’s website, successful treatment requires regular physical examinations by an orthopedic surgeon, appropriate braces to be replaced as they grow up, patient cooperation and family support.

For the study, Weinstein’s team randomly assigned 116 children, whether or not they wore braces. In addition, another 126 children were given the choice of wearing braces.Patient Braces I was told to wear it for at least 18 hours a day.

High-risk patients are those whose spine is between 20 and 40 degrees and whose spine is still growing. For these children between the ages of 10 and 15, he added that bracing should start as soon as possible. The brace is designed to prevent the curve from traveling up to about 50 degrees. This is when surgery is needed.

The reason for some children is unknown Scoliosis According to Weinstein, it wouldn’t progress without the brace, and there’s no reason why some children had scoliosis while wearing the brace.

Brace has existed since 1948, but doctors are still controversial as to whether it helps, and so far no research has been done to support or refute its value, he said.

The report was published online on September 19th. New England Journal of MedicineConsistent with the announcement of the findings at the annual meeting of the Scoliosis Study Group held in Lyon, France.

Dr. Harry Shuffleberger, Head of Spine Surgery at Miami Children’s Hospital, said: He was not involved in new research.

The problem is that there is no way to know who needs the brace and who doesn’t, he said. “We can find high-risk populations and provide them to everyone, with an explanation that some do not need braces, others do, and they are indistinguishable.”

Another doctor, Dr. Eugene Karazie, a professor of orthopedics at Stanford University School of Medicine, agreed that it was not clear who was actually benefiting from the brace.

There are many types of spinal curves, including vertical and vertical spinal curves, double curves, curves that tilt to the right, and curves that tilt to the left.

“There aren’t enough people in this study to break it down to say which of these curves will be better with braces,” he said. “It’s very likely that there are subgroups where braces are very effective, but there are also subgroups where it isn’t,” Carragee said.

“We need to do some research to separate the braceable and non-brasable curves,” he said.

MedicalNews
Copyright © 2013 Health Day. all rights reserved.



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References

Source: Stuart Weinstein, MD, Professor, Orthopedics, University of Iowa, Iowa City; Eugene Carragee, MD, Professor, Orthopedics, Stanford University School of Medicine, Stanford, California; Harry Shuffleberger, MD, Director, Spine Surgery Department, Miami Pediatrics Hospital; September 19, 2013, Presentation, Annual Meeting of the Scoliosis Study Group, Lyon, France. September 19, 2013, New England Journal of Medicine,online

Braces appear to benefit many children with high-risk scoliosis

Source link Braces appear to benefit many children with high-risk scoliosis

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