Introduction
This case study outlines the treatment and significant outcomes for an adolescent female diagnosed with idiopathic scoliosis. Initiated at the age of 10, ahead of her pubertal growth spurt and at a Risser sign of 0, the treatment utilized 3D asymmetrical bracing. This approach aimed to effectively correct spinal curvature, emphasizing the importance of early and diligent intervention.
Patient Background
- Age at Treatment Start: 10 years
- Risser Sign: 0
- Initial Largest Cobb Angle: 24 degrees
- Activities: Participation in cheerleading, showcasing high athleticism
Treatment Overview
The patient started her bracing treatment in February 2020. Despite initial delays for the in-brace x-ray imaging until June 2020, her commitment to the treatment plan remained steadfast. She showed exemplary compliance with her full-time bracing regimen and followed through with her personalized physiotherapy program.
Treatment Specifics
- Bracing Protocol: Custom 3D asymmetrical brace for full-time wear, designed to correct the spinal curvature through three-dimensional forces. Treatment managed throughout the duration of wear to hit all acknowledged clinical milestones.
- Physiotherapy Compliance: Fully adhered to a targeted physiotherapy program, enhancing brace effectiveness and physical health.
- Athletic Involvement: Continued active cheerleading, demonstrating adaptability and dedication.
- Initial In-Brace Response: An 8-degree correction was observed initially during the in brace x-ray analysis
- Long-term Follow-up: Patient sustained an 8-degree Cobb angle at long-term follow-up out of brace, marking significant curvature improvement.The treatment led to a 75% reduction of the spinal curvature.
- Bracing Duration: As per the prescribing surgeons recommendation, active treatment spanning approximately 14 months concluded with the weaning and subsequent discontinuation of the bracing.
- Long Term Follow Up: A two year time interval from brace weaning shows a sustained cobb measurement of clinically negligible difference.
Conclusion
This case exemplifies the effective use of 3D asymmetrical bracing in significantly reducing the spinal curvature, from 24 degrees down to 8 degrees Cobb angle, in an adolescent with idiopathic scoliosis. Through committed bracing, physiotherapy, and maintaining an active lifestyle, the patient achieved a 75% correction. A 2 year follow up interval indicates negligible regression. This narrative underscores the effectiveness of non-surgical intervention, particularly when initiated early, and highlights the critical role of patient commitment in achieving successful outcomes. It serves as a positive testament to the potential of modern bracing technologies in improving the lives of patients with scoliosis.
