Derleme
BibTex RIS Kaynak Göster

Skolyozun Konservatif Tedavisinde Korseleme

Yıl 2023, Cilt: 8 Sayı: 1, 33 - 40, 19.03.2023

Öz

Skolyozun Konservatif Tedavisinde Korseleme

Özet
Giriş: Skolyoz omurganın en az 10° ölçülen sağa veya sola eğriliğidir. Adolesan idiopatik skolyoz (AIS) için egzersiz tedavisi, korse tedavisi ve cerrahi tedavi uygulanan tedavi yöntemleridir. Uygun vakalarda korse tedavisi, eğriliğin ilerlemesini ve cerrahi ihtiyacını önlemede potansiyel olarak etkili yöntemdir. Bu derlemede AIS’da korseleme prensiplerinden bahsedilecektir.
Bulgular: AIS vakaları tedavi edilmezse ilerleyebilir ve ciddi vakalar morbidite ve mortalite ile sonuçlanabilir . AIS’da korse kullanımının amacı büyüme dönemindeki omurgada eğriliğin ilerlemesini durdurmak, vücut dengesini korumak, ameliyata gidişi azaltmak ve kozmetik görünümü iyileştirmektir. Geçmişten günümüze pek çok korse tasarlanmıştır. En son teknoloji bilgisayar programları ile yapılan hafif termoplastik korselerdir. Korselerin 24 saatin 20 saati kullanımı önerilir.
Sonuç: Korse tedavisi için endikasyonlar; hala büyüyen çocuk, iskelet maturasyonu tam olmayan (Risser 0, Tanner 1 veya 2) eğrisi 25° ila 40° olan veya eğrilikleri 25°'den az olan ve altı ayda 5° ila 10°'lik belgelenmiş ilerleme (ayda 1°'den fazla ilerleme) olan hastalardır. Hasta iskelet olgunluğuna ulaştığında korse sonlandırabilir.
Anahtar kelimeler: Skolyozda korseleme, Boston Korse, Milwaukee korse


Bracing in the Conservative Treatment of Scoliosis
Abstract
Introduction: Scoliosis is a right or left curvature of the spine that measures at least 10°. Exercise therapy, brace therapy and surgical therapy are the treatment methods for adolescent idiopathic scoliosis (AIS). In appropriate cases, brace treatment is a potentially effective method in preventing the progression of the curvature and the need for surgery. In this review, the principles of bracing in AIS will be discussed.
Results: Cases of AIS may progress if left untreated, and severe cases may result in morbidity and mortality. The purpose of using a corset in AIS is to stop the progression of the curvature in the growing spine, to protect the body balance, to reduce the need for surgery and to improve the cosmetic appearance. Many corsets have been designed from past to present. They are light thermoplastic corsets made with the latest technology computer programs. It is recommended to use corsets for 20 hours out of 24 hours.
Conclusion: Indications for corset treatment; still growing child, with incomplete skeletal maturation (Risser 0, Tanner 1 or 2) with curves of 25° to 40° or with curvatures less than 25° and documented progression of 5° to 10° at six months (less than 1° per month) patients with further progression. The corset can be terminated when the patient reaches skeletal maturity.
Key words: Bracing in scoliosis, Boston brace, Milwaukee brace

Kaynakça

  • 1. Society SR. Working Group on 3-D Classification, Terminology Committee. Revised Glosary of Terms. [Available from: Available at http://www.srs.org/professionals/glossary.asp,2003.
  • 2. Heary RF, Bono CM, Kumar S. Bracing for scoliosis. Neurosurgery. 2008;63(3 Suppl):125-30.
  • 3. Bunnell WP. Selective screening for scoliosis. Clinical Orthopaedics and Related Research®. 2005;434:40-5.
  • 4. Altaf F, Gibson A, Dannawi Z, Noordeen H. Adolescent idiopathic scoliosis. Bmj. 2013;346.
  • 5. Paul SM. Skolyoz ve diğer omurga deformiteleri. 5 ed. Ankara: Güneş Kitabevi; 2014. 893-9 p.
  • 6. Fong DYT, Lee CF, Cheung KMC, Cheng JCY, Ng BKW, Lam TP, et al. A meta-analysis of the clinical effectiveness of school scoliosis screening. Spine. 2010;35(10):1061-71.
  • 7. Weinstein SL, Dolan LA, Wright JG, Dobbs MB. Effects of bracing in adolescents with idiopathic scoliosis. New England Journal of Medicine. 2013;369(16):1512-21.
  • 8. http://www.scoliosis.org/info.php [
  • 9. Schiller JR, Thakur NA, Eberson CP. Brace management in adolescent idiopathic scoliosis. Clinical Orthopaedics and Related Research®. 2010;468(3):670-8.
  • 10. Asher MA, Burton DC. Adolescent idiopathic scoliosis: natural history and long term treatment effects. Scoliosis. 2006;1(1):1-10.
  • 11. Rowe DE, Bernstein SM, Riddick MF, Adler F, Emans JB, Gardner-Bonneau D. A meta-analysis of the efficacy of non-operative treatments for idiopathic scoliosis. JBJS. 1997;79(5):664-74.
  • 12. Shaughnessy WJ. Advances in scoliosis brace treatment for adolescent idiopathic scoliosis. Orthopedic Clinics of North America. 2007;38(4):469-75.
  • 13. YILMAZ H. Bracing in adolescent idiopathic scoliosis Adolesan idiopatik skolyozda korse tedavisi
  • 14. T. G. European Braces [Available from: http://www.scoliosisjournal. com/series/brace_technology.
  • 15. Kuroki H. Brace treatment for adolescent idiopathic scoliosis. Journal of clinical medicine. 2018;7(6):136.
  • 16. White III A, Panjabi M. Practical biomechanics of scoliosis and kyphosis: clinical biomechanics of the spine. JB Lippincott, Philadelphia; 1990.
  • 17. Lovett R, Brewster A. The treatment of scoliosis by a different method from that usually employed. JBJS. 1924;6(4):847-57.
  • 18. Risser J. The application of body casts for the correction of scoliosis. Instructional course lectures. 1955;12:255-9.
  • 19. Blount WP, Schmidt AC, KEEVER ED, Leonard ET. The Milwaukee brace in the operative treatment of scoliosis. JBJS. 1958;40(3):511-25.
  • 20. Fayssoux RS, Cho RH, Herman MJ. A history of bracing for idiopathic scoliosis in North America. Clinical Orthopaedics and Related Research®. 2010;468(3):654-64.
  • 21. Watts H, Hall J, Stanish W. The Boston brace system for the treatment of low thoracic and lumbar scoliosis by the use of a girdle without superstructure. Clinical Orthopaedics and Related Research®. 1977(126):87-92.
  • 22. Negrini S, Grivas TB. Introduction to the" Scoliosis" Journal Brace Technology Thematic Series: increasing existing knowledge and promoting future developments. Springer; 2010. p. 1-6.
  • 23. Lonstein JE, Winter RB. The Milwaukee brace for the treatment of adolescent idiopathic scoliosis. A review of one thousand and twenty patients. The Journal of bone and joint surgery American volume. 1994;76(8):1207-21.
  • 24. Lonstein JE, Carlson J. The prediction of curve progression in untreated idiopathic scoliosis during growth. The Journal of bone and joint surgery American volume. 1984;66(7):1061-71.
  • 25. Allington NJ, Bowen JR. Adolescent idiopathic scoliosis: treatment with the Wilmington brace. A comparison of full-time and part-time use. JBJS. 1996;78(7):1056-62.
  • 26. Howard A, Wright JG, Hedden D. A comparative study of TLSO, Charleston, and Milwaukee braces for idiopathic scoliosis. Spine. 1998;23(22):2404-11.
  • 27. O'neill PJ, Karol LA, Shindle MK, Elerson EE, Brintzenhofeszoc KM, Katz DE, et al. Decreased orthotic effectiveness in overweight patients with adolescent idiopathic scoliosis. JBJS. 2005;87(5):1069-74.
  • 28. Emans JB, Kaelin A, Bancel P, Hall JE, Miller M. The Boston bracing system for idiopathic scoliosis. Follow-up results in 295 patients. Spine. 1986;11(8):792-801.
  • 29. Coillard C, Vachon V, Circo AB, Beauséjour M, Rivard CH. Effectiveness of the SpineCor brace based on the new standardized criteria proposed by the scoliosis research society for adolescent idiopathic scoliosis. Journal of Pediatric Orthopaedics. 2007;27(4):375-9.
  • 30. Wong MS, Cheng JC, Lam TP, Ng BK, Sin SW, Lee-Shum SL, et al. The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance of the patients with adolescent idiopathic scoliosis. Spine. 2008;33(12):1360-5.
  • 31. Weinstein S. Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST). http://Clinicaltrials gov. 2009.
  • 32. Katz DE, Richards BS, Browne RH, Herring JA. A comparison between the Boston brace and the Charleston bending brace in adolescent idiopathic scoliosis. Spine. 1997;22(12):1302-12.
  • 33. d’Amato CR, Griggs S, McCoy B. Nighttime bracing with the Providence brace in adolescent girls with idiopathic scoliosis. Spine. 2001;26(18):2006-12.
  • 34. Yrjönen T, Ylikoski M, Schlenzka D, Kinnunen R, Poussa M. Effectiveness of the Providence nighttime bracing in adolescent idiopathic scoliosis: a comparative study of 36 female patients. European Spine Journal. 2006;15(7):1139-43.
  • 35. Simony A, Beuschau I, Quisth L, Jespersen SM, Carreon LY, Andersen MO. Providence nighttime bracing is effective in treatment for adolescent idiopathic scoliosis even in curves larger than 35. European Spine Journal. 2019;28(9):2020-4.
  • 36. Kaelin AJ. Adolescent idiopathic scoliosis: indications for bracing and conservative treatments. Annals of Translational Medicine. 2020;8(2).
  • 37. Wiley JW, Thomson JD, Mitchell TM, Smith BG, Banta JV. Effectiveness of the Boston brace in treatment of large curves in adolescent idiopathic scoliosis. Spine. 2000;25(18):2326-32.
  • 38. Peltonen J, Poussa M, Ylikoski M. Three-year results of bracing in scoliosis. Acta Orthopaedica Scandinavica. 1988;59(5):487-90.
  • 39. Nicholson G, Ferguson-Pell M, Smith K, Edgar M, Morley T. The objective measurement of spinal orthosis use for the treatment of adolescent idiopathic scoliosis. Spine. 2003;28(19):2243-50.
  • 40. Pham V, Houlliez A, Carpentier A, Herbaux B, Schill A, Thevenon A, editors. Determination of the influence of the Chêneau brace on quality of life for adolescent with idiopathic scoliosis. Annales de réadaptation et de médecine physique; 2008: Elsevier.
  • 41. Kotwicki T, Durmała J, Czaprowski D, Głowacki M, Kołban M, Snela S, et al. Conservative management of idiopathic scoliosis--guidelines based on SOSORT 2006 Consensus. Ortopedia, traumatologia, rehabilitacja. 2009;11(5):379-95.
  • 42. Landauer F, Wimmer C, Behensky H. Estimating the final outcome of brace treatment for idiopathic thoracic scoliosis at 6-month follow-up. Pediatric rehabilitation. 2003;6(3-4):201-7.
  • 43. Zaina F, Donzelli S, Lusini M, Negrini S. Correlation between in-brace radiographic correction and short time brace results. Scoliosis. 2012;7(1):1-.
  • 44. Carr WA, Moe J, Winter R, Lonstein J. Treatment of idiopathic scoliosis in the Milwaukee brace. The Journal of bone and joint surgery American volume. 1980;62(4):599-612.
  • 45. Oglivie JW. In Moe’s Textbook of Scoliosis and Other Spinal Deformities. ed r, editor: WB Saunders Company; 1994.
  • 46. Rahman T, Bowen JR, Takemitsu M, Scott C. The association between brace compliance and outcome for patients with idiopathic scoliosis. Journal of Pediatric Orthopaedics. 2005;25(4):420-2.
  • 47. Matsunaga S, Hayashi K, Naruo T, Nozoe S-i, Komiya S. Psychologic management of brace therapy for patients with idiopathic scoliosis. Spine. 2005;30(5):547-50.
Toplam 47 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Derleme
Yazarlar

Ayşe Atilabey Güç 0000-0003-2552-1403

Yayımlanma Tarihi 19 Mart 2023
Kabul Tarihi 14 Mart 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 8 Sayı: 1

Kaynak Göster

Vancouver Atilabey Güç A. Skolyozun Konservatif Tedavisinde Korseleme. JAMER. 2023;8(1):33-40.