A Dangerous Curve: Impact of the COVID-19 Pandemic on Brace Treatment in Adolescent Idiopathic Scoliosis

被引:3
|
作者
Duarte, Matias Pereira [1 ,2 ]
Joncas, Julie [1 ]
Parent, Stefan [1 ,2 ]
Duval, Mylene [1 ]
Chemaly, Olivier [1 ,2 ]
Brassard, Felix [1 ,2 ]
Mac-Thiong, Jean-Marc [1 ,2 ]
Barchi, Soraya [1 ]
Labelle, Hubert [1 ,2 ]
机构
[1] St Justine Univ Hosp Ctr, Orthopaed Div, 3175 Cote St Catherine, Montreal, PQ H3T 1C5, Canada
[2] Univ Montreal, Surg Dept, Montreal, PQ, Canada
关键词
COVID-19; pandemic; brace treatment; adolescent idiopathic scoliosis; treatment abandon; HEALTH; OUTBREAK;
D O I
10.1177/21925682221113487
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design: Observational Cohort study. Objectives: We aim to document the abandon and irregular compliance rate towards brace treatment during the COVID-19 pandemic and its impact on AIS progression. Methods: We reviewed a database of AIS patients recruited between March and September 2020. We included AIS patients under brace treatment according to SRS criteria. The patients were divided in 2 cohorts: those with self-reported Good-Compliance (GC) to treatment and those who had a Bad-Compliance (BC). Data analysis included biometric and radiographic data at first visit and last follow-up and percentage of progression. Unpaired student-t tests and Chi(2) were used for comparison. Results: 152 patients met inclusion criteria. 89 patients (age:12.1y.o.+/- 1.4) reported good adherence to treatment, while 63 patients (age:12.7y.o.+/- 1.8) were not compliant. Within the BC group, 18 patients reported irregular brace wear, while 45 had completely abandoned treatment (abandon rate of 29%). The GC cohort started treatment with a mean main thoracic (MT) curve of 26 degrees and finished with 27 degrees. The mean difference between measurements was +.65 degrees +/- 7.5; mean progression rate was -4.6%. However, the BC cohort started with a mean MT curve of 27 degrees and finished with 32 degrees, with a mean increase of +5 degrees +/- 8 and a mean progression rate of -13%. The differences between the 2 cohorts were statistically significant (P = .0002). Six patients from the BC group progressed and were offered surgery. Conclusion: The abandon rate of brace treatment in AIS significantly increased during the first wave of COVID-19 pandemic. Patients who voluntarily discontinued treatment had significant increases in curve progression and surgical indication rates.
引用
收藏
页码:513 / 518
页数:6
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