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A History of Bracing for Idiopathic Scoliosis in North America
Journal article   Open access   Peer reviewed

A History of Bracing for Idiopathic Scoliosis in North America

Reginald S. Fayssoux, Robert H. Cho and Martin J. Herman
Clinical orthopaedics and related research, v 468(3), pp 654-664
01 Mar 2010
PMID: 19462214
url
https://doi.org/10.1007/s11999-009-0888-5View
Published, Version of Record (VoR)Open Access (License Unspecified) Open

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology Surgery
The care of the patient with scoliosis has a history extending back over two millennia with cast and brace treatment being a relatively recent endeavor, the modern era comprising just over half a century. Much of the previous literature provides a modest overview with emphasis on the history of the operative management. To better understand the current concepts of brace treatment of scoliosis, an appreciation of the history of bracing would be helpful. As such, we review the history of the treatment of scoliosis with an emphasis on modern brace treatment, primarily from a North American perspective. Our review utilizes consideration of historical texts as well as current treatises on the history of scoliosis and includes discussion of brace development with their proponents' rationale for why they work along with an appraisal of their clinical outcomes. We provide an overview of the current standards of care and the braces typically employed toward that standard including: the Milwaukee brace, the Wilmington brace, the Boston brace, the Charleston brace, the Providence brace and the SpineCor brace. Finally, we discuss future trends including improvements in methods of determining the critical period of peak growth velocity in children with scoliosis, the exciting promise of gene markers for progressive scoliosis and "internal bracing'' options.

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46 citations in Scopus

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Web of Science research areas
Orthopedics
Surgery
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