Volume 12, Issue 1 (Winter 2025)
JROS 2025, 12(1): 51-56 |
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Mahdavi S M, Saffarpour S, Ghandehari H, Khaleghi Langeroudi M. The Results of Orthotic Treatment in Patients With Hyperkyphosis Using Milwaukee Brace. JROS 2025; 12 (1) :51-56
URL: http://jros.iums.ac.ir/article-1-2294-en.html
URL: http://jros.iums.ac.ir/article-1-2294-en.html
1- Department of Orthopedics, Bone and Joint Reconstruction Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (31 Views)
Background: Nonsurgical treatment of hyperkyphosis can be very challenging. Limited information is available on the outcomes of treating this condition, especially postural hyperkyphosis with the Milwaukee brace.
Objectives: The present study aimed to evaluate the outcomes of treating hyperkyphosis (postural and Scheuermann disease) with the Milwaukee brace.
Methods: This study involved 54 patients, including 16 with Scheuermann disease, with an average age of 12.6±2 years. Their thoracic kyphosis (TK) and lumbar lordosis (LL) angles were measured before and after treatment using long-spine radiographs. Patients were divided into two groups: Group I had angles less than 70 degrees, while group II had angles greater than 70 degrees. The results of both groups were compared.
Results: The TK angle significantly decreased from an average of 63.4±8.5 degrees to 42.7±13.4 degrees, while the LL angle decreased from 51.9±7.7 degrees to 49.4±5.5 degrees (P<0.001). Three patients required fusion surgery due to the ineffectiveness of orthotic treatment. In groups I and II, the mean corrections in TK angle were 22.6±7.9 degrees and 14.8±11 degrees, respectively. The difference between these two groups was statistically significant (P=0.016). The corresponding values for LL were 2.2±5.4 degrees and 3.6±3.6 degrees (P=0.895). There was no significant correlation between changes in TK and LL angles and the patients’ age.
Conclusion: The use of the Milwaukee brace for orthotic treatment can lead to a significant reduction in TK (either postural or Scheuermann disease). Patients with a kyphosis angle of less than 70 degrees show significantly better outcomes from this treatment compared to those with a kyphosis angle greater than 70 degrees.
Objectives: The present study aimed to evaluate the outcomes of treating hyperkyphosis (postural and Scheuermann disease) with the Milwaukee brace.
Methods: This study involved 54 patients, including 16 with Scheuermann disease, with an average age of 12.6±2 years. Their thoracic kyphosis (TK) and lumbar lordosis (LL) angles were measured before and after treatment using long-spine radiographs. Patients were divided into two groups: Group I had angles less than 70 degrees, while group II had angles greater than 70 degrees. The results of both groups were compared.
Results: The TK angle significantly decreased from an average of 63.4±8.5 degrees to 42.7±13.4 degrees, while the LL angle decreased from 51.9±7.7 degrees to 49.4±5.5 degrees (P<0.001). Three patients required fusion surgery due to the ineffectiveness of orthotic treatment. In groups I and II, the mean corrections in TK angle were 22.6±7.9 degrees and 14.8±11 degrees, respectively. The difference between these two groups was statistically significant (P=0.016). The corresponding values for LL were 2.2±5.4 degrees and 3.6±3.6 degrees (P=0.895). There was no significant correlation between changes in TK and LL angles and the patients’ age.
Conclusion: The use of the Milwaukee brace for orthotic treatment can lead to a significant reduction in TK (either postural or Scheuermann disease). Patients with a kyphosis angle of less than 70 degrees show significantly better outcomes from this treatment compared to those with a kyphosis angle greater than 70 degrees.
Type of Study: Research Article |
Subject:
Spine surgery
Received: 2024/07/29 | Accepted: 2024/10/15 | Published: 2025/02/1
Received: 2024/07/29 | Accepted: 2024/10/15 | Published: 2025/02/1
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