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Brace treatment for symptomatic spondylolisthesis
D F Bell1, M G Ehrlich, D J Zaleske
1Department of Orthopaedic Surgery, Hospital for Sick Children, Toronto, Canada.
Clinical Orthopaedics and Related Research
|November 1, 1988
Summary
Antilordotic braces effectively treat adolescent spondylolisthesis. This study found that bracing reduced back pain and prevented slip progression in patients with Grades I and II spondylolisthesis.
Area of Science:
- Orthopedics
- Spinal Surgery
- Pediatric Spine Conditions
Background:
- Spondylolisthesis commonly progresses during adolescent growth spurts.
- Conservative management is crucial for low-grade slips.
- Antilordotic bracing is a potential treatment modality.
Purpose of the Study:
- To evaluate the efficacy of antilordotic braces in treating adolescent spondylolisthesis (Grades I and II).
- To assess the impact of bracing on pain, lordosis, and slip progression.
Main Methods:
- Twenty-eight patients with Grades I and II spondylolisthesis were treated with antilordotic braces.
- Mean treatment duration was 25 months.
- Lateral roentgenograms were used to assess lumbar lordosis, sacral inclination, and slip progression.
Main Results:
- Patients experienced significant reductions in lumbar lordosis and sacral inclination while braced.
- All patients reported being pain-free post-treatment.
- No significant increase in slip percentage was observed during the treatment period.
Conclusions:
- Antilordotic bracing is an effective conservative treatment for adolescent spondylolisthesis.
- Bracing can alleviate pain and prevent further progression of low-grade slips.
- This method offers a non-surgical option for managing pediatric spinal conditions.