The “pitfalls” of scoliosis brace treatment

Scoliosis, also known as scoliosis, is a three-dimensional deformity of the spine that includes serial abnormalities in the coronal, sagittal and axial positions. In a normal person, the spine should look like a straight line from the back and be symmetrical on both sides of the trunk. Scoliosis should be suspected if the shoulders are unequal in the frontal view or if the back is uneven from the back. A full spine x-ray in the standing position should be taken at this time, and if the frontal x-ray shows a lateral curvature of the spine greater than 10 degrees, scoliosis is diagnosed. In mild scoliosis, there is usually no significant discomfort and no visible trunk deformity on the exterior. In more severe cases, scoliosis can affect the growth and development of infants and adolescents, deforming the body and, in severe cases, affecting cardiopulmonary function and even involving the spinal cord, resulting in paralysis. Mild cases of scoliosis can be observed, while severe cases require surgery. Scoliosis is a common disease that affects adolescents and children, and the key is early detection and treatment. Bracing is currently a common method of conservative treatment for scoliosis Among the non-surgical treatments, bracing is by far the most scientifically effective treatment method. Therefore, many parents choose brace therapy first. However, not all scoliosis is suitable for brace treatment, and there are pitfalls in brace treatment. This is especially true for anterior scoliosis. In the clinic, a parent brought her daughter, 15 years old, with 60 degrees of scoliosis, menstruation for a year and a half, some wheezing when going up the stairs, and more critically, scoliosis in the sagittal position is an anterior convexity, which seriously squeezes the chest space and leads to pressure on the lungs and heart. The principle of brace orthopedics is largely through the squeezing force, that is, squeezing the rib cage to indirectly correct the scoliosis, for such a scoliosis has been severely squeezed chest space scoliosis, taking brace treatment is undoubtedly for the heart and lung function to add to the burden, should have received surgery, even if not receive surgery, should not receive brace treatment, because even if the scoliosis will be reduced, at the cost of reduced heart and lung function in exchange for The correction of scoliosis is also inappropriate and seriously deviates from the purpose of scoliosis treatment. The purpose of scoliosis treatment is to reduce the impact on lung function first, followed by improvement in appearance and psychological improvement. Please pay attention to the pitfalls of brace treatment: 1. For scoliosis with anterior convexity of the thoracic segment, brace treatment must be cautious. 2. For those who already have cardiopulmonary dysfunction or reduced cardiopulmonary function, brace treatment must be cautious. 3. For patients receiving brace treatment, many parents do not allow their children to move or avoid strenuous activities for their children, which is another great mistake and trap. Even if the degree of correction of scoliosis is reduced, it is important to ensure that cardiopulmonary function is not affected, and to adjust the tightness of the brace according to the lung function. Monitoring of pulmonary function during bracing Exercise during bracing