Article

Idiopathic scoliosis (IS) is characterized by the lateral deviation of the spine
and constitutes a three-dimensional distortion that leads to geometric and
morphological lesions in the spine and thoracic cage. The most widespread method
of conservative management is to use spinal orthoses or body braces. These are
usually recommended in patients with skeletal immaturity with a Risser sign 2 or
less and with curves ranging from 25 degrees to 45 degrees . Of these, perhaps
one of the most popular in recent years is the Boston Brace. It was developed in
the early 1970s, and its design is based on symmetry, consisting of extensions
and pads, with each of them exerting corrective forces and has a specific role
depending on the type of scoliosis. It is important that the treatment group, the
patient, and the family environment should work as a team consistently and be
well trained to achieve the best result. Various studies published in
international literature have observed beneficial effects from the use of the Boston system. Nevertheless, there are still issues that need further
investigation regarding its effectiveness depending on the type of curves, the
duration of application, the gender, and BMI of patients to whom it is applied.
However, without question, if all these factors are taken into account and with
the compliance of the therapy group with the instructions, the main goal can be
achieved, which is the stability of the spine, and the ultimate result of
clinical-radiological and aesthetic improvement, which is directly linked to the
psychological satisfaction of the patient.

Langue : ANGLAIS