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Bracing Manual

This manual on bracing for Idiopathic Scoliosis is a product of the Scoliosis Research Society. It was distributed to participants at the 1998 Brace Instructional Course in New York City during the 33rd Annual Meeting. The sections below are the work of the distinguished faculty of the course. Several sections have been updated in 2003 and 2009.

SRS is in no way endorsing any of these braces over other brace types. In some cases there may have been help in the production of illustrations and drawings from the brace manufacturing companies. SRS has not received any funds from the manufacturers directly.

We hope this manual will be valuable as a future reference for your clinical and teaching activities.

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Annotated Bibliography on Bracing

Annotated Bibliography on Bracing For Spinal Deformities

Boston Brace

The Boston bracing system evolved since 1972 and utilize a prefabricated, standardized symmetrical module chosen on the basis of the patient’s physical dimensions. The individual patient orthosis is constructed using the radiograph-based blueprint designed by the orthotist.

Bracewear Compliance

Bracewear is the only proven means of conservative management in adolescent idiopathic scoliosis

Bracing for Scheuermanns Kyphosis

Bracing is indicated for Scheuermann’s kyphosis when the deformity has been progressive, is painful or cosmetically unacceptable, and the patient is skeletally immature.

Charleston Bending Brace

This new brace was first fabricated in 1978 in Charleston for treatment of idiopathic adolescent scoliosis. Originally the new orthosis was used to treat patients in which other types of orthotic management had failed; patients who continued to show progressive curvatures, but whose skeletal maturity obviated full-time bracewear, and patients who had refused other treatment options.

European Braces

Bracing is the main non-surgical intervention in the treatment of idiopathic scoliosis during growth, in hyperkyphosis (and Scheuermann disease) and occasionally for spondylolisthesis; it can be used in adult scoliosis, in the elderly when pathological curves lead to a forward leaning posture or in adults after traumatic injuries.

Milwaukee Brace

The Milwaukee Brace or CTLSO (cervico-thoraco-lumbo-sacral orthosis) is the first modem day brace used to treat spinal deformities. It was developed by Blount and Schmidt for the post-operative treatment of post-polio scoliosis and was found to be effective in the non-operative treatment of idiopathic scoliosis.

Providence Brace

The Providence Brace was developed when it was observed that significant correction of scoliotic curves could be achieved using an acrylic frame to apply direct corrective forces to the patient.

Scoliosis Research Society Brace Manual

Since adolescent idiopathic scoliosis progresses most often in patients who are growing and have curves which are above 20 degrees, this is the time to use a brace modality.

SpineCor System

The SpineCor system is a flexible brace that is principally prescribed for Idiopathic Scoliosis patients with a Cobb angle between 15° and 50° and Risser sign 0 to 2. The brace is fitted on the patient in accordance to a sub-classfication of the traditional SRS definition of curve types.

Wilmington Brace

In children with Idiopathic Scoliosis and curves between 25 and 39 degrees the recommended treatment is bracing. The goal of the bracing regimen is to arrest the progression of the curve.