Bracing is a widely accepted treatment for scoliosis, especially in children and adolescents. The orthosis is individually tailored to the needs of different patients and is primarily used to prevent spinal curvature from worsening in old age. It cannot correct the existing spinal curvature in patients with scoliosis.
Bracing is recommended for patients with curves between 25 and 40 degrees and progression of 5 degrees or more every 4 to 6 months. Patients who have not yet achieved full bone growth tend to benefit most from fixation.
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A brace is made and assembled to match each individual curve. This task is performed by the orthopedic surgeon after the orthopedic surgeon recommends fixation.
The effectiveness of fixation was assessed by routine examination and x-rays. Regular exercise with strengthening is recommended to keep the body flexible and maintain spinal & muscle strength.
Skin problems or rashes caused by tightening should be reported to an orthopedist. Creams and lotions should be applied during toning because these products soften the skin and make it more prone to scarring. The brace should not be exposed to high temperatures and should be cleaned and dried regularly before use.
Commonly used braces include the Boston brace, the Milwaukee brace, and the Charleston bend brace. The Boston brace is used to treat the curvature of the thoracolumbar spine. Usually worn 23 hours a day but can be removed during physical activity.