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KMID : 0388720030100030248
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Journal of Korean Society of Spine Surgery
2003 Volume.10 No. 3 p.248 ~ p.254
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Result of Traction Thoracolumbosacral Orthosis in Idiopathic Scoliosis
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박원욱/Park, Weon-Wook
남태욱/안성준/유성호/문형근/Nam, Tae-Wook/Ahn, Seong-Jun/Yoo, Seong-Ho/Moon, Hyong-Guen
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Abstract
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Study Design : A retrospective study of the effectiveness of traction thoracolumbosacral orthosis (TLSO) in idiopathic scoliosis.
Objective : To compare the results of traction TLSO and conventional TLSO.
Summary of Literature Review : No report has been published about longitudinal traction and lateral force before cast molding
in the nonoperative treatment of idiopathic scoliosis.
Materials and Methods : Twenty-one cases of traction TLSO (group I) and 17 cases of conventional TLSO (group II) were stud-
ied, Traction TLSO was made as follows:
1. Cervical traction was applied to the patient standing under the frame with application of lateral force with compression pad.
2. Cast molding.
3. Fabrication of plastic jacket and application of pads. TPte mean age of group I was 12 years and of group II, 13 years. We evaluated the effectiveness of traction TLSO with Cobb´s
ar gle reduction, trunk pain and dyspnea.
St atistical analysis was made with SPSS.
Results : In group I, mean pre-brace Cobb´s angle was 31.1 and in group II, 29.6. Flexibility of the curves was 78% and 751/o, rc >pectively. Mean reduction rate of Cobbs angle after 3 days of brace application was 59.5% and 15.4%, respectively. One year la er, reduction of Cobb´s angle was 15.4" in group I and 2.7 in group 11. Reduction rate of Cobb´s angle after 1 year of brace al plication was 54.2% and 7.9%, respectively. Post-brace pain and dyspnea were similar in both groups.
Conclusion : Traction TLSO was superior to conventional TLSO in terms of angle reduction, but was similar in subjective symptoms.
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