Skolyozun Konservatif Tedavisinde Korseleme

Skolyozun Konservatif Tedavisinde Korseleme Özet Giriş: Skolyoz omurganın en az 10° ölçülen sağa veya sola eğriliğidir. Adolesan idiopatik skolyoz (AIS) için egzersiz tedavisi, korse tedavisi ve cerrahi tedavi uygulanan tedavi yöntemleridir. Uygun vakalarda korse tedavisi, eğriliğin ilerlemesini ve cerrahi ihtiyacını önlemede potansiyel olarak etkili yöntemdir. Bu derlemede AIS’da korseleme prensiplerinden bahsedilecektir. Bulgular: AIS vakaları tedavi edilmezse ilerleyebilir ve ciddi vakalar morbidite ve mortalite ile sonuçlanabilir . AIS’da korse kullanımının amacı büyüme dönemindeki omurgada eğriliğin ilerlemesini durdurmak, vücut dengesini korumak, ameliyata gidişi azaltmak ve kozmetik görünümü iyileştirmektir. Geçmişten günümüze pek çok korse tasarlanmıştır. En son teknoloji bilgisayar programları ile yapılan hafif termoplastik korselerdir. Korselerin 24 saatin 20 saati kullanımı önerilir. Sonuç: Korse tedavisi için endikasyonlar; hala büyüyen çocuk, iskelet maturasyonu tam olmayan (Risser 0, Tanner 1 veya 2) eğrisi 25° ila 40° olan veya eğrilikleri 25°'den az olan ve altı ayda 5° ila 10°'lik belgelenmiş ilerleme (ayda 1°'den fazla ilerleme) olan hastalardır. Hasta iskelet olgunluğuna ulaştığında korse sonlandırabilir. Anahtar kelimeler: Skolyozda korseleme, Boston Korse, Milwaukee korse Bracing in the Conservative Treatment of Scoliosis Abstract Introduction: Scoliosis is a right or left curvature of the spine that measures at least 10°. Exercise therapy, brace therapy and surgical therapy are the treatment methods for adolescent idiopathic scoliosis (AIS). In appropriate cases, brace treatment is a potentially effective method in preventing the progression of the curvature and the need for surgery. In this review, the principles of bracing in AIS will be discussed. Results: Cases of AIS may progress if left untreated, and severe cases may result in morbidity and mortality. The purpose of using a corset in AIS is to stop the progression of the curvature in the growing spine, to protect the body balance, to reduce the need for surgery and to improve the cosmetic appearance. Many corsets have been designed from past to present. They are light thermoplastic corsets made with the latest technology computer programs. It is recommended to use corsets for 20 hours out of 24 hours. Conclusion: Indications for corset treatment; still growing child, with incomplete skeletal maturation (Risser 0, Tanner 1 or 2) with curves of 25° to 40° or with curvatures less than 25° and documented progression of 5° to 10° at six months (less than 1° per month) patients with further progression. The corset can be terminated when the patient reaches skeletal maturity. Key words: Bracing in scoliosis, Boston brace, Milwaukee brace

Anahtar Kelimeler:

Skolyozda korseleme, Boston Korse, Milwaukee korse

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