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Marty-Poumarat C Scattin L Marpeau M Garreau de Loubresse C Aegerter P 《Spine》2007,32(11):1227-34; discussion 1235
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Clémence Palazzo Jean-Paul Montigny Frédéric Barbot Bernard Bussel Isabelle Vaugier Didier Fort Isabelle Courtois Catherine Marty-Poumarat 《Archives of physical medicine and rehabilitation》2017,98(1):187-190
Objective
To assess the effectiveness of bracing in adult with scoliosis.Design
Retrospective cohort study.Setting
Outpatients followed in 2 tertiary care hospitals.Participants
Adults (N=38) with nonoperated progressive idiopathic or degenerative scoliosis treated by custom-molded lumbar-sacral orthoses, with a minimum follow-up time of 10 years before bracing and 5 years after bracing. Progression was defined as a variation in Cobb angle ≥10° between the first and the last radiograph before bracing. The brace was prescribed to be worn for a minimum of 6h/d.Interventions
Not applicable.Main Outcome Measure
Rate of progression of the Cobb angle before and after bracing measured on upright 3-ft full-spine radiographs.Results
At the moment of bracing, the mean age was 61.3±8.2 years, and the mean Cobb angle was 49.6°±17.7°. The mean follow-up time was 22.0±11.1 years before bracing and 8.7±3.3 years after bracing. For both types of scoliosis, the rate of progression decreased from 1.28°±.79°/y before to .21°±.43°/y after bracing (P<.0001). For degenerative and idiopathic scoliosis, it dropped from 1.47°±.83°/y before to .24°±.43°/y after bracing (P<.0001) and .70°±.06°/y before to .24°±.43°/y after bracing (P=.03), respectively.Conclusions
For the first time, to our knowledge, this study suggests that underarm bracing may be effective in slowing down the rate of progression in adult scoliosis. Further prospective studies are needed to confirm these results. 相似文献3.
Does hormone replacement therapy prevent lateral rotatory spondylolisthesis in postmenopausal women?
Marty-Poumarat C Ostertag A Baudoin C Marpeau M de Vernejoul MC Cohen-Solal M 《European spine journal》2012,21(6):1127-1134
Purpose
Degenerative scoliosis usually begins at menopause and lateral rotatory olisthesis (LRO) might be a triggering factor in the onset of degenerative scoliosis in postmenopausal women. We set out to evaluate the influence of hormone replacement therapy (HRT) on degenerative scoliosis and on LRO.Methods
A cross-sectional study was conducted in 146 postmenopausal women: 75 women had received HRT for more than 1 year (HRT > 1) and 71 women had never received HRT or less than 1 year (HRT < 1). Scoliotic curve, LRO, sacral slope, lordosis, kyphosis were measured. The excess risk of LRO associated with age, BMI, isometric strength of brachial biceps, bone mineral density, lean mass and HRT was evaluated using a multiple logistic regression model.Results
No difference was found in sacral slope, lumbar lordosis or thoracic kyphosis between both groups or in the presence of scoliosis. The prevalence of LRO was significantly lower in HRT >1 than HRT <1 (8 vs. 30%) while the risk was dependent on age, HRT and their interaction. LRO increased with age only in HRT <1 (11% when aged ≤66 years vs. 39% when aged >66 years, p = 0.013), whereas the prevalence of LRO remained stable in HRT >1.Conclusions
LRO was significantly lower in women who received HRT. The excess risk of LRO was dependent on both age and HRT status. These findings suggest that HRT might prevent the onset of LRO, and therefore might contribute to the prevention of low back pain. 相似文献
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