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The classification of scoliosis braces developed by SOSORT with SRS,ISPO, and POSNA and approved by ESPRM |
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| Authors: | Negrini Stefano Aulisa Angelo Gabriele Cerny Pavel de Mauroy Jean Claude McAviney Jeb Mills Andrew Donzelli Sabrina Grivas Theodoros B Hresko M Timothy Kotwicki Tomasz Labelle Hubert Marcotte Louise Matthews Martin O’Brien Joe Parent Eric C Price Nigel Manuel Rigo Stikeleather Luke Vitale Michael G Wong Man Sang Wood Grant Wynne James Zaina Fabio Bruno Marco Brayda Würsching Suncica Bulat Yilgor Caglar Cahill Patrick Dema Eugenio Knott Patrick Lebel Andrea Lein Grigorii Newton Peter O Smith Brian G |
| Institution: | 1.Department of Biomedical, Surgical and Dental Sciences, University “La Statale”, Milan, Italy ;2.IRCCS Bambino Gesù Children’s Hospital, Rome, Italy ;3.West Bohemia University, Pilsen, Czechia ;4.Independent Researcher, Lyon, France ;5.ScoliCare, Kogarah, NSW, Australia ;6.Sheffield Children’s NHS Foundation Trust, Sheffield Children’s Hospital, Sheffield, UK ;7.ISICO (Italian Scientific Spine Institute), Milan, Italy ;8.Department of Orthopedics and Traumatology, “Tzaneio” General Hospital of Piraeus, Piraeus, Greece ;9.Boston Children Hospital, Harvard Medical School, Boston, MA, USA ;10.Spine Disorders and Pediatric Orthopedics Department, University of Medical Sciences, Poznan, Poland ;11.Division of Orthopedics, University of Montreal, CHU Sainte-Justine, Montréal, QC, Canada ;12.OrthoChiro, Montréal, QC, Canada ;13.DM Orthotics Ltd, Redruth, UK ;14.School of Health Professions, Faculty of Health, University of Plymouth, Plymouth, UK ;15.SOSORT, Boston, MA, USA ;16.Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada ;17.Children’s Mercy Hospital, Kansas City, MO, USA ;18.Rigo Quera Salvá, SLP Vía Augusta 185, 08021, Barcelona, Spain ;19.National Scoliosis Center, Fairfax, VA, USA ;20.Department of Orthopedic Surgery, Columbia University Irving Medical Center, New York, NY, USA ;21.Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China ;22.Align Clinic, LLC and Align Technologies, LLC, San Mateo, CA, USA ;23.Boston Orthotics and Prosthetics, Boston, MA, USA ;24.IRCCS Istituto Ortopedico Galeazzi, Milan, Italy ;25.Ku?a Zdravlja D.O.O, Polji?ka 31, 10 000, Zagreb, Croatia ;26.Department of Orthopedics and Traumatology, Acibadem Mehmet Ali Aydinlar University School of Medicine, Istanbul, Turkey ;27.Division of Orthopaedics, Children’s Hospital of Philadelphia, Philadelphia, PA, USA ;28.Scoliosis and Spinal Disease Center, Hesperia Hospital GHC SPA, Modena, Italy ;29.Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA ;30.Scoliosis Physiotherapy and Posture Centre Ottawa, Ottawa, ON, Canada ;31.H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery, Saint-Petersburg, Russia ;32.Rady Children’s Hospital, University of California, San Diego, USA ;33.Texas Children’s Hospital, Professor of Orthopaedics, Baylor College of Medicine, Houston, TX, USA ; |
| Abstract: | Purpose Studies have shown that bracing is an effective treatment for patients with idiopathic scoliosis. According to the current classification, almost all braces fall in the thoracolumbosacral orthosis (TLSO) category. Consequently, the generalization of scientific results is either impossible or misleading. This study aims to produce a classification of the brace types. MethodsFour scientific societies (SOSORT, SRS, ISPO, and POSNA) invited all their members to be part of the study. Six level 1 experts developed the initial classifications. At a consensus meeting with 26 other experts and societies’ officials, thematic analysis and general discussion allowed to define the classification (minimum 80% agreement). The classification was applied to the braces published in the literature and officially approved by the 4 scientific societies and by ESPRM. ResultsThe classification is based on the following classificatory items: anatomy (CTLSO, TLSO, LSO), rigidity (very rigid, rigid, elastic), primary corrective plane (frontal, sagittal, transverse, frontal & sagittal, frontal & transverse, sagittal & transverse, three-dimensional), construction—valves (monocot, bivalve, multisegmented), construction—closure (dorsal, lateral, ventral), and primary action (bending, detorsion, elongation, movement, push-up, three points). The experts developed a definition for each item and were able to classify the 15 published braces into nine groups. ConclusionThe classification is based on the best current expertise (the lowest level of evidence). Experts recognize that this is the first edition and will change with future understanding and research. The broad application of this classification could have value for brace research, education, clinical practice, and growth in this field. |
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