Are TLSO braces an effective treatment for idiopathic scoliosis?

Updated: Dec 02, 2020
  • Author: Charles T Mehlman, DO, MPH; Chief Editor: Jeffrey A Goldstein, MD  more...
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Questions have also been raised regarding the consistency of strap tension in TLSO bracing. Using an instrumented load cell to measure strap tension, Aubin et al studied 34 of their patients with braces in Quebec. [115] They found marked variability in tension, with the greatest change occurring while patients were recumbent.

In part because of the aforementioned psychological and brace-wear compliance issues, new approaches to bracing are being developed. [116, 117] One such approach, developed by Coillard and Rivard of the St Justine Hospital in Montreal, is a dynamic bracing method known as the SpineCor Brace or as the St Justine Brace. [118] It involves elastic straps that are anchored on a pelvic corset, and based on curve morphology, these straps are tensioned to exert corrective forces. The brace is a radical departure from traditional plastic and metal orthoses.

Early results with the St Justine Brace are encouraging, with success rates comparable to those of traditional bracing. Continued follow-up of their growing international cohort of patients is necessary. A study by Gutman et al found the SpineCor brace to be less effective than the Boston brace for treatment of adolescent idiopathic scoliosis. [119]


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