Although various forms of nonoperative treatment have been applied to spinal deformities over the centuries, it was the development of the original Milwaukee brace, a cervicothoraciclumbosacral orthosis (CTLSO),by Blount and Schmidt1 in the middle 1940s that heralded a new era of nonoperative treatment and that has led to much of the success we enjoy with nonoperative treatment today. Furthermore, as our understanding of the natural history of scoliosis has grown and our recognition of the specific genetic, curvature-related, or neurophysiological factors that predispose patients to curvature progression has improved, so has our ability to successfully treat patients by nonoperative means.
Although there continue to be some authors who voice skepticism over the efficacy of bracing for idiopathic scoliosis,2 it remains the only nonoperative modality consistently shown to alter the natural progression of these curvatures. The recent report by Nachemson and Peterson3 of the results of a prospective,
McLain RF, Karol L. Conservative Treatment of the Scoliotic and Kyphotic PatientBrace Treatment and Other Modalities. Arch Pediatr Adolesc Med. 1994;148(6):646–651. doi:10.1001/archpedi.1994.02170060100021
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: