gms | German Medical Science

67. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie
89. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie
44. Tagung des Berufsverbandes der Fachärzte für Orthopädie

11. bis 16.11.2003, Messe/ICC Berlin

Thoracic Kyphosis Angle in Patients Treated with Brace

Meeting Abstract (DGOOC 2003)

  • corresponding author Maciej Glowacki - University of Medical Science Poznan, 28 Czerwca 1956 No 135/147, 61-545, Poznan, Phone: 0048(61) 83-10-375, Fax: 0048(61) 83-10-173
  • A. Szulc - University of Medical Science Poznan, 28 Czerwca 1956 No 135/147, 61-545, Poznan, Phone: 0048(61) 83-10-375, Fax: 0048(61) 83-10-173
  • P. Lubiatowski - University of Medical Science Poznan, 28 Czerwca 1956 No 135/147, 61-545, Poznan, Phone: 0048(61) 83-10-375, Fax: 0048(61) 83-10-173
  • A. Ignys - University of Medical Science Poznan, 28 Czerwca 1956 No 135/147, 61-545, Poznan, Phone: 0048(61) 83-10-375, Fax: 0048(61) 83-10-173

Deutsche Gesellschaft für Unfallchirurgie. Deutsche Gesellschaft für Orthopädie und orthopädische Chirurgie. Berufsverband der Fachärzte für Orthopädie. 67. Jahrestagung der Deutschen Gesellschaft für Unfallchirurgie, 89. Tagung der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie und 44. Tagung des Berufsverbandes der Fachärzte für Orthopädie. Berlin, 11.-16.11.2003. Düsseldorf, Köln: German Medical Science; 2003. Doc03dguX-193

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/dgu2003/03dgu1146.shtml

Published: November 11, 2003

© 2003 Glowacki et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Flattening of thoracic kyphosis or even thoracic lordosis is the one of typical features of idiopathic scoliosis. Hypokyphosis has been evident in natural history of scoliosis. However it has also been shown in patients treated with braces.

Aim

The aim of the study was evaluation of kyphosis angle measured at levels Th2-Th12 and Th5-Th12 before operative correction with CD method in 135 patients.

Method

Group 57 of patients has been treated with Milwaukee brace in preoperative period. The group of remaining 78 patients were treated exclusively with exercise program.

Results

Cobb angle was on average 59,9 SD 12,5 in whole material. 57 patients treated with braces had the average angle measured between Th2-Th12 of 15 SD 9,2. 78 patients treated with exercise program had the average angle of 16 SD 8,5. The average angle measured between Th5-Th12 was 12 SD 9,9 for patients treated with Milwaukee brace and 12 SD 8,2. There were no significant differences between groups. Degree of hypokyphosis was highest in King type III scoliosis. For this type patients average Th2-Th12 angle was 14,6 SD 7,2, and Th5-Th12- 11,5 SD 8. There were no significant differences between groups treated with or without bracing.

Conclusions

Bracing for idiopathic scoliosis does not have negative impact on thoracic kyphosis. Degree of hypokyphosis is part of natural history of scoliosis and is most significant in true thoracic scoliosis as represented by King type III scoliosis.