DOS 2018

DOS Kongressen 2018 · 255 Providence Night-time Bracing are effective in Treatment of Adolescent Idiopathic Scoliosis, even in Curves larger than 35°. Ane Simony, Emil Jesper Hansen, Stig Mindedahl Jespersen, Mikkel Østerheden Andersen Rygkirurgisk Afdeling, Middelfart, Sygehus Lillebælt; Ortopæd kirurgisk afdeling, Bispebjerg Hospital; Ortopæd kirurgisk Afdeling, Odense Universitets Hospital Background: Since 2006 the Providence Night time Brace, has been used for conservative treatment of scoliosis. Previous studies comparing the outcome after full time bracing and Night time bracing, has reported comparable out- come with curves < 35°. Purpose / Aim of Study: The aim of this study was to report the outcome after treatment in a cohort of Adolescent Idiopathic Scoliosis patients, with curves between 20-45°. Materials and Methods: 124 patients with Adolescent idiopathic scoliosis were included in this study, diagnosed with Cobb > 20°, a remaining growth potential and no previous scoliosis treatment. Providence Night time treatment, 8 hours nightly, was initiated with a in brace correction > 70 %. Treatment was continued until 2 years post menarchal menarchal for the females, and until 6 months growth arrest in boys. The patients were evaluated by standing radio- graphs during treatment, 6 and 12 months after termination. Findings / Results: 124 patients were included, and 80 patients terminated brace treatment and follow up. Mean inbrace correction was 83 %, and curve progression was observed in 9 patients. Brace treatment was success full in 88.7 % of patients, also in patients with curves > 35° when treatment was initiated. 5 % of the patients were referred to surgical treatment due to pro- gression. Conclusions: Providence night time braces are effective, as a treatment in ad- olescent idiopathic scoliosis patients. This study reports a success rate of 88.7 % and the results are comparable to fulltime treatment with Boston braces or other TLSO. 196.