Miami TLSO in the management of scoliosis: Preliminary results in 100 cases

N. C. McCollough, M. Schultz, N. Javech, L. Latta

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

A custom fabricated polypropylene thoraco-lumbo-sacral orthosis (TLSO) for the treatment of scoliotic curves with an apical vertebrae of T7 or below is described, and the results in 100 patients treated over a 5 year period are reported. The average follow-up for all cases was 13 months, the longest being 59 months. Average initial correction in brace for thoracic curves was 36%, for thoraco-lumbar curves 56%, and for lumbar curves 63%. Double major curves averaged 38% initial correction for the upper curves and 37% for the lower curves. Twenty cases had completed brace treatment with an average follow-up of 8 months out of brace. Of the 30 curves in the 20 patients, 11 were improved more than 5°, 19 remained unchanged (+5°), and none had progressed more than 5°. Twenty-three percent of the patients required a second orthosis and complications occurred in only two patients. The primary advantages of this TLSO include improved cosmesis, minimal discomfort, excellent provision for heat exchange, minimal confinement of the thoracic cage, and maximum retention of spinal mobility.

Original languageEnglish
Pages (from-to)141-152
Number of pages12
JournalJournal of Pediatric Orthopaedics
Volume1
Issue number2
StatePublished - Dec 1 1981

Fingerprint

Orthotic Devices
Scoliosis
Braces
Polypropylenes
Spine
Thorax
Hot Temperature
Therapeutics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

McCollough, N. C., Schultz, M., Javech, N., & Latta, L. (1981). Miami TLSO in the management of scoliosis: Preliminary results in 100 cases. Journal of Pediatric Orthopaedics, 1(2), 141-152.

Miami TLSO in the management of scoliosis : Preliminary results in 100 cases. / McCollough, N. C.; Schultz, M.; Javech, N.; Latta, L.

In: Journal of Pediatric Orthopaedics, Vol. 1, No. 2, 01.12.1981, p. 141-152.

Research output: Contribution to journalArticle

McCollough, NC, Schultz, M, Javech, N & Latta, L 1981, 'Miami TLSO in the management of scoliosis: Preliminary results in 100 cases', Journal of Pediatric Orthopaedics, vol. 1, no. 2, pp. 141-152.
McCollough NC, Schultz M, Javech N, Latta L. Miami TLSO in the management of scoliosis: Preliminary results in 100 cases. Journal of Pediatric Orthopaedics. 1981 Dec 1;1(2):141-152.
McCollough, N. C. ; Schultz, M. ; Javech, N. ; Latta, L. / Miami TLSO in the management of scoliosis : Preliminary results in 100 cases. In: Journal of Pediatric Orthopaedics. 1981 ; Vol. 1, No. 2. pp. 141-152.
@article{592b55db9c2840f8a7b9c4d052e7e55d,
title = "Miami TLSO in the management of scoliosis: Preliminary results in 100 cases",
abstract = "A custom fabricated polypropylene thoraco-lumbo-sacral orthosis (TLSO) for the treatment of scoliotic curves with an apical vertebrae of T7 or below is described, and the results in 100 patients treated over a 5 year period are reported. The average follow-up for all cases was 13 months, the longest being 59 months. Average initial correction in brace for thoracic curves was 36{\%}, for thoraco-lumbar curves 56{\%}, and for lumbar curves 63{\%}. Double major curves averaged 38{\%} initial correction for the upper curves and 37{\%} for the lower curves. Twenty cases had completed brace treatment with an average follow-up of 8 months out of brace. Of the 30 curves in the 20 patients, 11 were improved more than 5°, 19 remained unchanged (+5°), and none had progressed more than 5°. Twenty-three percent of the patients required a second orthosis and complications occurred in only two patients. The primary advantages of this TLSO include improved cosmesis, minimal discomfort, excellent provision for heat exchange, minimal confinement of the thoracic cage, and maximum retention of spinal mobility.",
author = "McCollough, {N. C.} and M. Schultz and N. Javech and L. Latta",
year = "1981",
month = "12",
day = "1",
language = "English",
volume = "1",
pages = "141--152",
journal = "Journal of Pediatric Orthopaedics",
issn = "0271-6798",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - Miami TLSO in the management of scoliosis

T2 - Preliminary results in 100 cases

AU - McCollough, N. C.

AU - Schultz, M.

AU - Javech, N.

AU - Latta, L.

PY - 1981/12/1

Y1 - 1981/12/1

N2 - A custom fabricated polypropylene thoraco-lumbo-sacral orthosis (TLSO) for the treatment of scoliotic curves with an apical vertebrae of T7 or below is described, and the results in 100 patients treated over a 5 year period are reported. The average follow-up for all cases was 13 months, the longest being 59 months. Average initial correction in brace for thoracic curves was 36%, for thoraco-lumbar curves 56%, and for lumbar curves 63%. Double major curves averaged 38% initial correction for the upper curves and 37% for the lower curves. Twenty cases had completed brace treatment with an average follow-up of 8 months out of brace. Of the 30 curves in the 20 patients, 11 were improved more than 5°, 19 remained unchanged (+5°), and none had progressed more than 5°. Twenty-three percent of the patients required a second orthosis and complications occurred in only two patients. The primary advantages of this TLSO include improved cosmesis, minimal discomfort, excellent provision for heat exchange, minimal confinement of the thoracic cage, and maximum retention of spinal mobility.

AB - A custom fabricated polypropylene thoraco-lumbo-sacral orthosis (TLSO) for the treatment of scoliotic curves with an apical vertebrae of T7 or below is described, and the results in 100 patients treated over a 5 year period are reported. The average follow-up for all cases was 13 months, the longest being 59 months. Average initial correction in brace for thoracic curves was 36%, for thoraco-lumbar curves 56%, and for lumbar curves 63%. Double major curves averaged 38% initial correction for the upper curves and 37% for the lower curves. Twenty cases had completed brace treatment with an average follow-up of 8 months out of brace. Of the 30 curves in the 20 patients, 11 were improved more than 5°, 19 remained unchanged (+5°), and none had progressed more than 5°. Twenty-three percent of the patients required a second orthosis and complications occurred in only two patients. The primary advantages of this TLSO include improved cosmesis, minimal discomfort, excellent provision for heat exchange, minimal confinement of the thoracic cage, and maximum retention of spinal mobility.

UR - http://www.scopus.com/inward/record.url?scp=0019848648&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0019848648&partnerID=8YFLogxK

M3 - Article

C2 - 7334090

AN - SCOPUS:0019848648

VL - 1

SP - 141

EP - 152

JO - Journal of Pediatric Orthopaedics

JF - Journal of Pediatric Orthopaedics

SN - 0271-6798

IS - 2

ER -