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The duPont kyphosis brace for the treatment of adolescent Scheuermann kyphosis. 2003

Eric C Riddle, and J Richard Bowen, and Suken A Shah, and Edward F Moran, and Harry Lawall
Department of Orthopaedics, Alfred I. duPont Hospital for Children, Wilmington, DE 19899, USA.

The purpose of this study was to evaluate the effectiveness of a newly designed brace in the treatment of adolescent Scheuermann thoracic kyphosis. Twenty-two children who met the roentgenographic criteria of Scheuermann kyphosis and were compliant with treatment were followed until skeletal maturity. Sixteen patients (73%) showed nonprogression of their kyphosis (nine patients demonstrated an improvement, seven patients remained unchanged), and had a mean improvement of 9 degrees (64 degrees to 55 degrees). Six patients (27%) demonstrated progression of the kyphosis and had a mean increase in their kyphosis of 9 degrees (59 degrees to 68 degrees). One patient underwent posterior spinal fusion for progressive thoracic kyphosis despite bracing. It was recommended that this brace be worn until skeletal maturity; in this study this time period was determined to be at least 16 months to induce improvement or halt progression of this disease. Flexible curves are a positive predictor of a successful outcome of bracing with the kyphosis brace. These results are comparable to previous reports in the literature describing the effectiveness of the modified Milwaukee brace in the treatment of Scheuermann thoracic kyphosis prior to skeletal maturity, and the kyphosis brace has the advantage of concealability under normal attire.

UI MeSH Term Description Entries
D007738 Kyphosis Deformities of the SPINE characterized by an exaggerated convexity of the vertebral column. The forward bending of the thoracic region usually is more than 40 degrees. This deformity sometimes is called round back or hunchback. Hyperkyphosis,Hyperkyphoses,Kyphoses
D008297 Male Males
D010349 Patient Compliance Voluntary cooperation of the patient in following a prescribed regimen. Client Adherence,Client Compliance,Non-Adherent Patient,Patient Adherence,Patient Cooperation,Patient Noncompliance,Patient Non-Adherence,Patient Non-Compliance,Patient Nonadherence,Therapeutic Compliance,Treatment Compliance,Adherence, Client,Adherence, Patient,Client Compliances,Compliance, Client,Compliance, Patient,Compliance, Therapeutic,Compliance, Treatment,Cooperation, Patient,Non Adherent Patient,Non-Adherence, Patient,Non-Adherent Patients,Non-Compliance, Patient,Nonadherence, Patient,Noncompliance, Patient,Patient Non Adherence,Patient Non Compliance,Patient, Non-Adherent,Therapeutic Compliances,Treatment Compliances
D001915 Braces Orthopedic appliances used to support, align, or hold parts of the body in correct position. (Dorland, 28th ed) Brace
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D012544 Scheuermann Disease A type of juvenile osteochondrosis affecting the fibrocartilaginous disc (INTERVERTEBRAL DISC) in the thoracic or thoracolumbar region of the SPINE. It is characterized by a forward concave SPINAL CURVATURE or KYPHOSIS. Adolescent Hyperkyphosis,Adolescent Kyphosis,Juvenile Kyphosis,Juvenile Osteochondrosis of Spine,Scheuermann Juvenile Kyphosis,Scheuermann Kyphosis,Scheuermann's Disease,Scheuermann's Kyphosis,Adolescent Hyperkyphoses,Adolescent Kyphoses,Hyperkyphoses, Adolescent,Hyperkyphosis, Adolescent,Juvenile Kyphoses,Juvenile Kyphoses, Scheuermann,Juvenile Kyphosis, Scheuermann,Kyphoses, Adolescent,Kyphoses, Juvenile,Kyphoses, Scheuermann,Kyphoses, Scheuermann Juvenile,Kyphoses, Scheuermann's,Kyphosis, Adolescent,Kyphosis, Juvenile,Kyphosis, Scheuermann,Kyphosis, Scheuermann Juvenile,Kyphosis, Scheuermann's,Scheuermann Juvenile Kyphoses,Scheuermann Kyphoses,Scheuermann's Kyphoses,Scheuermanns Disease,Scheuermanns Kyphosis,Spine Juvenile Osteochondroses,Spine Juvenile Osteochondrosis

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