Elastic Lumbar Support Versus Rigid Thoracolumbar Orthosis for Acute Pediatric Spondylolysis: A Prospective Controlled Study

• DOI: 10.1097/brs.0000000000004424
• Publication Date: 2022-07-14T17:00:26Z
• Authors: Ella Virkki; Milja Holstila; Terhi Kolari; Markus Lastikka; Kimmo Mattila; Sari Malmi; Olli Pajulo; Ilkka Helenius
• Keywords: ta3126; Orthotic Devices; Lumbar Vertebrae; Adolescent; Health-related quality of life; Surgery, anesthesiology, intensive care, radiology; Neurosciences; Neurology and psychiatry; 3. Good health; Srs-24; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Scoliosis; Quality of Life; Humans; Prospective Studies; Spondylolysis; Pediatric spondylolysis; Child; Brace treatment

A prospective study on clinical, radiographic, and health-related quality of life (HRQoL) outcomes in children with acute spondylolysis treated a rigid thoracolumbar orthosis or an elastic lumbar support.To compare pediatric spondylosysis hard brace support.The benefits the use treatment are not clear.Fifty-seven consecutive (mean age: 14.1 yr, range: 9-17 yr) were prospectively enrolled. Patients (Boston brace) low-profile, support. First 14 patients randomized remaining 43 chose type themselves. Treatment period was four months. included bony union assessed computed tomography at months HRQoL using Scoliosis Research Society-24 outcome questionnaire filled out before after treatment.Of 57 patients, 54 completed protocol. Twenty-nine Boston 25 Bony obtained 69.0% (20/29) 60.0% (15/25) support group patients. Difference rates significant (relative risk=1.14, 95% confidence interval: 0.44-2.98, P =0.785). There no difference total domain scores end follow-up between groups ( >0.159 for all comparisons). In whole cohort, did predict better =0.869), although pain improved significantly cohort <0.001).A provide any over terms spondylolysis.2.