Aim. The use of braces for spondylolisthesis in adolescents has been proposed in the literature to reduce symptoms, but not deformity. Aim of this paper is to review retrospectively some clinical data on the efficacy of antilordotic TLSO braces to reduce spondylolisthesis in adolescents. Materials and Methods. Inclusion criteria: 20-25±5% isthmic spondylolisthesis; Risser sign 0-3 at start, at least 4 today; at least 2 years of treatment. Design: consecutive recruitment of all patients matching inclusion criteria. Population: 19 subjects (6 males); spondylolisthesis 20.0±5.60% (range 15-30); age 13.5±2.7 years at start, 16.8 today. Treatment: full-time antilordotic brace, progressively reduced according to bone age; stabilizing physical exercises. 14 subjects still wear the brace night-time, while 5 reached a 6 months follow-up. Results. Spondylolisthesis: 12.2±8.4% according to radiographs after at least 12 hours without brace (up to 6 months). Average treatment time: 3.3±1.9 years. 1 case progressed (from 15% to 22o%), 1 did not change, 9 improved of more than 50%, 5 of more than 90%, 3 reached 0.5 patients reached the end of treatment and showed, at the 6 months follow-up, a reduction of spondylolisthesis between 0% and 9%, stable at dynamic radiographs. Conclusion. These results suggest the possible usefulness of braces for spondylolisthesis in adolescents, even if a controlled study is needed. Relevancy. There are no results on this topic in the literature, and no conservative therapies are proposed to date to reduce spondylolisthesis in growing age.
Efficacy of antilordotic TLSO braces to reduce spondylolisthesis in adolescents. Preliminary results from a clinical retrospective study
Monticone M;
2004-01-01
Abstract
Aim. The use of braces for spondylolisthesis in adolescents has been proposed in the literature to reduce symptoms, but not deformity. Aim of this paper is to review retrospectively some clinical data on the efficacy of antilordotic TLSO braces to reduce spondylolisthesis in adolescents. Materials and Methods. Inclusion criteria: 20-25±5% isthmic spondylolisthesis; Risser sign 0-3 at start, at least 4 today; at least 2 years of treatment. Design: consecutive recruitment of all patients matching inclusion criteria. Population: 19 subjects (6 males); spondylolisthesis 20.0±5.60% (range 15-30); age 13.5±2.7 years at start, 16.8 today. Treatment: full-time antilordotic brace, progressively reduced according to bone age; stabilizing physical exercises. 14 subjects still wear the brace night-time, while 5 reached a 6 months follow-up. Results. Spondylolisthesis: 12.2±8.4% according to radiographs after at least 12 hours without brace (up to 6 months). Average treatment time: 3.3±1.9 years. 1 case progressed (from 15% to 22o%), 1 did not change, 9 improved of more than 50%, 5 of more than 90%, 3 reached 0.5 patients reached the end of treatment and showed, at the 6 months follow-up, a reduction of spondylolisthesis between 0% and 9%, stable at dynamic radiographs. Conclusion. These results suggest the possible usefulness of braces for spondylolisthesis in adolescents, even if a controlled study is needed. Relevancy. There are no results on this topic in the literature, and no conservative therapies are proposed to date to reduce spondylolisthesis in growing age.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
