Scoliosis Research Society (SRS)
An International Organization Dedicated to the Education, Research and Treatment of Spinal Deformity
Our Mission is to Foster Optimal Care for All Patients with Spinal Deformities
The underarm brace that your doctor prescribes may depend on your child's age and the center you visit. There are several types of braces, they typically have the same success rates, but your doctor will select one based on his/her experience with the different devices. The Wilmington brace is a custom-molded thoracolumbosacral orthosis that has molds to push and correct the curve (Figure 2). The Boston brace is similar, but uses pads inside the brace to push the curve (Figure 3). The Milwaukee brace, one of the first braces developed for scoliosis treatment, is less popular today due to its design. Your doctor will probably recommend that your child wear the brace fulltime. Some lumbar and thoracolumbar curves will be treated by a part time or night time brace. The Charleston and Providence braces are prescribed for eight to twelve hour a day year at home. Braces are generally removed for bathing and special occasions. As your child grows, new braces will need to be fabricated, approximately every twelve to eighteen months.
|Figure 2: Back view of young girl in Wilmington brace.||Figure 3: Side-view of patient in a Boston brace.||Figure 4: Front view of a child in Milwaukee brace.|
Braces may not be effective in every child for various reasons. The curve may be stiff and resistant to correction. Braces also have a more difficult time controlling kyphosis (round back) and lordosis (sway back). Since most braces work on the curve via the pressure they exert on the rib cage, concern exists over the effect that the brace has on the rib cage and the subsequent development of the lungs. Children with reflux, feeding tubes, and colostomies may have difficulty wearing a brace, but modifications can be made.