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Biomechanical and clinical perspectives on nighttime bracing for adolescent idiopathic scoliosis.
Stud Health Technol Inform. 2008; 135:274-90.SH

Abstract

The present review article aims at providing an update on the basic science and clinical information underlying the use of nocturnal braces for adolescent idiopathic scoliosis. The use of nocturnal braces has been dictated by the encouraging results recorded by some studies on part-time bracing, combined with increasing concerns on poor patient compliance noted with the use of full-time bracing. The cardinal feature of nighttime braces lays in their ability to hypercorrect the scoliotic curvature, thereby eliminating the asymmetric water accumulation that occurs in the apical and adjacent intervertebral discs, thus restoring a close-to-normal force application through the Hueter-Volkmann principle and preventing curve progression. The two nighttime braces mostly used hypercorrect the spine through different mechanisms, one acting by bending the spine and the other by the application of opposing forces. Based on the clinical results available, nighttime braces constitute an attractive option for single-major lumbar/thoracolumbar curves not exceeding 35 degrees in magnitude. Multi-center, randomized studies using strict criteria set forth by the Scoliosis Research Society and the Study group On Scoliosis Orthopaedic and Rehabilitation Treatment are needed to better define the role of nocturnal bracing in the conservative treatment of adolescent idiopathic scoliosis.

Authors+Show Affiliations

Orthopaedic Surgery Dept., 'Thriassio' General Hospital, Magoula, Attica, Greece.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

18401098

Citation

Grivas, Theodoros B., et al. "Biomechanical and Clinical Perspectives On Nighttime Bracing for Adolescent Idiopathic Scoliosis." Studies in Health Technology and Informatics, vol. 135, 2008, pp. 274-90.
Grivas TB, Rodopoulos GI, Bardakos NV. Biomechanical and clinical perspectives on nighttime bracing for adolescent idiopathic scoliosis. Stud Health Technol Inform. 2008;135:274-90.
Grivas, T. B., Rodopoulos, G. I., & Bardakos, N. V. (2008). Biomechanical and clinical perspectives on nighttime bracing for adolescent idiopathic scoliosis. Studies in Health Technology and Informatics, 135, 274-90.
Grivas TB, Rodopoulos GI, Bardakos NV. Biomechanical and Clinical Perspectives On Nighttime Bracing for Adolescent Idiopathic Scoliosis. Stud Health Technol Inform. 2008;135:274-90. PubMed PMID: 18401098.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Biomechanical and clinical perspectives on nighttime bracing for adolescent idiopathic scoliosis. AU - Grivas,Theodoros B, AU - Rodopoulos,Georgios I, AU - Bardakos,Nikolaos V, PY - 2008/4/11/pubmed PY - 2008/6/18/medline PY - 2008/4/11/entrez SP - 274 EP - 90 JF - Studies in health technology and informatics JO - Stud Health Technol Inform VL - 135 N2 - The present review article aims at providing an update on the basic science and clinical information underlying the use of nocturnal braces for adolescent idiopathic scoliosis. The use of nocturnal braces has been dictated by the encouraging results recorded by some studies on part-time bracing, combined with increasing concerns on poor patient compliance noted with the use of full-time bracing. The cardinal feature of nighttime braces lays in their ability to hypercorrect the scoliotic curvature, thereby eliminating the asymmetric water accumulation that occurs in the apical and adjacent intervertebral discs, thus restoring a close-to-normal force application through the Hueter-Volkmann principle and preventing curve progression. The two nighttime braces mostly used hypercorrect the spine through different mechanisms, one acting by bending the spine and the other by the application of opposing forces. Based on the clinical results available, nighttime braces constitute an attractive option for single-major lumbar/thoracolumbar curves not exceeding 35 degrees in magnitude. Multi-center, randomized studies using strict criteria set forth by the Scoliosis Research Society and the Study group On Scoliosis Orthopaedic and Rehabilitation Treatment are needed to better define the role of nocturnal bracing in the conservative treatment of adolescent idiopathic scoliosis. SN - 0926-9630 UR - https://www.unboundmedicine.com/medline/citation/18401098/Biomechanical_and_clinical_perspectives_on_nighttime_bracing_for_adolescent_idiopathic_scoliosis_ L2 - http://ebooks.iospress.nl/Extern/EnterMedLine.aspx?ISSN=0926-9630&Volume=135&SPage=274 DB - PRIME DP - Unbound Medicine ER -