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Use of dynamic spinal brace in the management of neuromuscular scoliosis: a preliminary report

Nakamura, Naoyukia; Uesugi, Masaakib; Inaba, Yutakac; Machida, Jiroa; Okuzumi, Shigeharua; Saito, Tomoyukic

Journal of Pediatric Orthopaedics B: May 2014 - Volume 23 - Issue 3 - p 291–298
doi: 10.1097/BPB.0000000000000034
Spine

Neuromuscular scoliosis is difficult to treat with braces because the collapsing trunk with the spinal deformity cannot tolerate the hard materials used for most orthoses. The dynamic spinal brace (DSB) is a novel three-point support brace used in Japan. We present our preliminary findings of 52 pediatric patients with neuromuscular scoliosis treated using DSBs. A positive correlation was found between the Cobb angle at the initiation of bracing and the degree of scoliosis progression. We concluded that DSBs may be effective for early-stage scoliosis. We also found that DSB improved sitting stability and thereby caregiver satisfaction.

aDepartment of Pediatric Orthopedic Surgery, Kanagawa Children’s Medical Center

bDepartment of Orthopedic Surgery, Odawara Municipal Hospital

cDepartment of Orthopedic Surgery, Yokohama City University, Yokohama City, Japan

Correspondence to Naoyuki Nakamura, MD, Department of Pediatric Orthopedic Surgery, Kanagawa Children’s Medical Center, 2-138-4 Mutsukawa, Minamiku, Yokohama City, Kanagawa 232-8555, Japan Tel: +81 45 711 2351; fax: +81 45 721 3324; e-mail: nnakamura@kcmc.jp

© 2014 by Lippincott Williams & Wilkins, Inc.