{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T15:59:13Z","timestamp":1648655953952},"reference-count":0,"publisher":"IOS Press","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,6,28]]},"abstract":"<jats:p>Mehta casting technique applied under anesthesia is standard treatment for infantile scoliosis (IIS). However, concern has been raised about frequent anesthesia in children less than three years. The development of a customized thoracolumbar sacral orthosis (TLSO) could avoid the risks of Mehta casting. To develop a bracing technique for IIS that achieves patient compliance and scoliosis correction. Nine patients with ISS were offered a custom TLSO as an alternative to Mehta casting. One patient declined due to an insurance issue. No anesthesia was required for measurement or fitting of the TLSO. A temperature sensitive monitor recorded wear time. Brace success was determined by radiographic correction and adherence to prescription of greater than 18 hours per day. Eight patients had brace treatment with mean(range): age 19(12\u201344) months, curve magnitude 34\u00b0\u00a0(22\u201344\u00b0), rib vertebral angle of greater than 20\u00b0\u00a0with follow-up 17(3\u201328) months. In brace correction was less than 15 degrees in 6 of 8 patients. Compliance monitor recorded wear: 4 patients \u2265 18 hours, 2 patients 16\u201318 hours, 1 had 14 hours, and 1 monitor malfunctioned and could not be read. Brace design evolved to maximize ipsilateral abdominal relief away from the lateral apical shift of the design. Foam lining was added to prevent skin irritation through the relief opening. Average number of braces per year =2.2. A customized TLSO can achieve in brace correction comparable to Mehta casting with acceptable compliance and without the need for general anesthesia, while allowing bathing and skin care.<\/jats:p>","DOI":"10.3233\/shti210463","type":"book-chapter","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T13:28:02Z","timestamp":1625059682000},"source":"Crossref","is-referenced-by-count":0,"title":["Bracing for infantile scoliosis: no sedation needed"],"prefix":"10.3233","author":[{"given":"MT","family":"Hresko","sequence":"first","affiliation":[{"name":"Boston Children\u2019s Hospital, Harvard Medical School, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Wynne","sequence":"additional","affiliation":[{"name":"Boston Orthotics and Prosthetics, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Houle","sequence":"additional","affiliation":[{"name":"Boston Orthotics and Prosthetics, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Miller","sequence":"additional","affiliation":[{"name":"Boston Orthotics and Prosthetics, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Research into Spinal Deformities 9"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI210463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,10,25]],"date-time":"2021-10-25T13:23:27Z","timestamp":1635168207000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI210463"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,28]]},"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti210463","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,28]]}}}