Hasselt, A.J. van (2019) Em(brace) it, progression can be detected in brace in patients with idiopathic scoliosis. thesis, Medicine.
Full text available on request.Abstract
Brace treatment is the standard treatment for adolescent idiopathic scoliosis with a Cobb angle between 25 and 50 degrees and substantial growth remaining. Though the brace treatment itself is proven to be effective, the correct follow-up method remains debated. International guidelines do not have a clear recommendation on radiographic follow-up with control X-rays in or out of brace and leave it to the physician. Although follow-up X-rays in brace have the advantage of monitoring the brace correction, controversy exists whether progression of the scoliosis can be detected or monitored. We therefor conducted a retrospective cohort study to determine whether progression can be detected and monitored during radiographic follow-up in brace. A search of hospitals archives was performed of all patients operated for idiopathic scoliosis between 2012 and 2019. Inclusion criteria were progressive scoliosis exceeding a Cobb angle of 50 degrees despite adequate brace wear with a minimum of 16 months of follow up and radiographs available during follow up in a Boston brace. 27 patients met the inclusion criteria. The Cobb angle of the scoliosis was determined for every control visit on available radiographs in brace. An average progression of 19.5 degrees was measured over a mean follow-up period of 3.3 years, resulting in an average progression of 5.9 degrees each year. Therefor we conclude significant progression can be detected during brace treatment of idiopathic scoliosis with the added benefit of being able to monitor the brace performance radiographically.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Peeters, C.M.M. and AIOS Orthopedie and Faber, dr. C. F chirurg and Universitair Medisch Centrum Groningen (UMCG) Afdeling Ortho |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:45 |
| Last Modified: | 25 Jun 2020 10:45 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/624 |
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