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Motion of the spine can often delay healing, especially in fractures or in post-operative fusions. Limiting the motion of the spine enhances the healing process and minimizes the patient's discomfort. The vertebral column seen from the side Different regions (curvatures) of the vertebral column The vertebral column (backbone or spine) is a column of vertebrae situated in the dorsal aspect of the abdomen. ...
For fractures in geologic formations, see Rock fracture. ...
Three types of braces are typically used:
- Rigid brace
- These braces are form-fitting plastic molds that restrict motion by as much as 50%.
- Corset brace
- An elastic brace that limits forward motion of the spine is helpful in allowing fusions to set. This type of brace is also often worn by people with jobs that require heavy lifting to remind them of proper lifting technique.
Bracing works to stop the progression of the curvature in a growing child, so it is not typically used to treat scoliosis in adults or children who are already skeletally mature or almost mature.
There are several types of back braces commonly used to treat adolescent idiopathic scoliosis. Each of these braces is a rigid brace that works by putting pressure on an existing curvature to prevent its progression. The most commonly used form of the Thoraco-Lumbo-Sacral Orthosis (TLSO) brace is called the "Boston brace". This brace is made of molded plastic and generally is worn under clothing. The brace can be removed for sport activities during the day, but is typically worn at all other times, both waking and sleeping.
The Cervico-Thoraco-Lumbo-Sacral Orthosis brace (known as a Milwaukee brace) is similar to the TLSO brace in construction and use. This brace includes a neck ring attached to the body of the brace to support the cervical spine. // The Milwaukee Brace is a correctional back/body brace to correct for scoliosis, kyphosis, or any number of congenital spine deformities. ...
The vertebral column seen from the side Different regions (curvatures) of the vertebral column The vertebral column (backbone or spine) is a column of vertebrae situated in the dorsal aspect of the abdomen. ...
The Charleston brace is worn only at night while sleeping. This brace is typically molded to a patient bent to the side, which increases the pressure on the curvature. Many studies have shown that the Charleston nighttime brace is as effective in 8 hours as the others are in 23 hours. To have the Charleston brace be effective, the existing curvature must be in the 20 to 40 degree range and the apex of the curve needs to be below the level of the shoulder blade.
The SpineCor brace, is worn 20 hours a day. This brace is flexible and allows freedom of movement. It is also less noticeable under the clothing as improvement of social aspect of the patients were in consideration during initial design phase. Treatment range of the brace is Cobb angle of between 15 and 50 degrees. Additionally, it is not as widely used as the others because it is fairly new. Recent published studies indiate results are very promising.
References Bracing works to stop the progression of the curvature in a growing child, so it is not typically used to treat scoliosis in adults or children who are already skeletally mature or almost mature.
There are several types of back braces commonly used to treat adolescent idiopathic scoliosis. Each of these braces is a rigid brace that works by putting pressure on an existing curvature to prevent its progression. The most commonly used form of the Thoraco-Lumbo-Sacral Orthosis (TLSO) brace is called the "Boston brace". This brace is made of molded plastic and generally is worn under clothing. The brace can be removed for sport activities during the day, but is typically worn at all other times, both waking and sleeping.
The Cervico-Thoraco-Lumbo-Sacral Orthosis brace (known as a Milwaukee brace) is similar to the TLSO brace in construction and use. This brace includes a neck ring attached to the body of the brace to support the cervical spine.
The Charleston brace is worn only at night while sleeping. This brace is typically molded to a patient bent to the side, which increases the pressure on the curvature. Many studies have shown that the Charleston nighttime brace is as effective in 8 hours as the others are in 23 hours. To have the Charleston brace be effective, the existing curvature must be in the 20 to 40 degree range and the apex of the curve needs to be below the level of the shoulder blade.
The SpineCor brace, is worn 20 hours a day. This brace is flexible and allows freedom of movement. It is also less noticeable under the clothing as improvement of social aspect of the patients were in consideration during initial design phase. Treatment range of the brace is Cobb angle of between 15 and 50 degrees. Additionally, it is not as widely used as the others because it is fairly new. Recent published studies indiate results are very promising.
THese are, along with the Boston brace are the ones that are used mostly in the Untid States.
THe Boston brace i sa plastic shell with small, square pads to correct side-to side curvature. Rotation is not addressed. The brace is known to cause difficulties breathing (while itn the brace) adn eating( meal patterns must be addjusted when wearing th e brace), even nausea. It does not work well for very high or low curves, or ones with much rotation. It is worn from 20-23 hours a day.
Other braces, used in europe, are very successful.
SPoRT is a slid brace with large weeping pads, "drives" to facilitate elongation, and "stops" to prevent the patient from moving incorrectly in relation to the curve. It is reported to have no limitations to the limbs. Patients are encouraged to participate in athletic activites whil e wearing the brace. It is useually worn 23 hours a day.
The Cheneau brace is German/Sapnish brace used mostly with the Schroth Method, a scoliosis rehabiliation method. theis brace corrects side-to-side as well as rotation. THe "shell" is padded with large, sweeping pads, and then there are spaces that are "bumped" out for the patient for move into. It is designed to work iwth the method's way fo correcting one-self. There are no reports of difficulties as the Boston is notorious for.
THe Lite Cheneau brace is made by the smae people and with the same theory, but instead of having the "bumps", it has spaces... the areas theat are pushing to correct the curve and roation are blade-like protrusions from the aluminum "backbone".
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