Traitement des scolioses idiopathiques par le Body Jacket de Wilmington

Autor: J. G. Pous, Ch. Guibal
Rok vydání: 1994
Předmět:
Zdroj: Orthopedie Traumatologie. 4:179-184
ISSN: 1432-1068
0940-3264
DOI: 10.1007/bf01788464
Popis: We reviewed 223 idiopathic scoliosis, juvenile scoliosis (71%) or adolescent scoliosis (29%), treated by Wilmington Body Jacket at an average age of 13 years. The mean angular value when treatment started was 26° for the double-major curves, 28° for the single thoracic curves, 23° for the lumbothoracic curves, 24° for the lumbar scoliosis. There are 50% angular corrections within the body jacket. At the end of the treatment, the average age is 15 years 5 months (the average duration of treatment is 2 years 2 months). At all, 53% of curves are stabilized (± 5°), 31,5% improved 6° or more, and 15,5% progressed more than 6° (but only 12 scoliosis (7%) warrant fusion. 8 of them were thoracic curves). With regards to the thoracolumbar and the lumbar curves, a stabilization (± 5°) or an improvement more than 6° are obtained in 83 to 90% of cases, depending on whether the initial angles were more or less than 30°. The topography of the curves treated (49% of lumbar curves, 14% of thoracolumbar curves, 26% of thoracic curves, with apex level below T7, 11% of double major curves) points out the qualities of correction and the efficacity of these orthosis at a lumbar and thoracolumbar level and it shows our care to maintain these curves below 30° at bone maturity.
Databáze: OpenAIRE
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