Material and methods In 1965, Cotrel and Morel describing the EDF plaster jacket technique stated that “in young children, it should be feasible not only to prevent further progression but above all to use the child’s growth to regress structural vertebral and thoracic deformities”. Before the child start walking, we use a plaster shell in bending correction. After walking, an underarm plaster ...

Although, the history of orthotic treatment for idiopathic scoliosis goes back more than fifty years, the mechanism of curve control by spinal orthosis is still controversial. Hypothetical explanations have been provided but few, if any, have been tested clinically. This study aims at the biomechanical evaluation of a spinal orthosis (Milwaukee brace) in order to improve understanding about the...

Background HA-TLS is very difficult to correct using other braces except for the Milwaukee brace (MB). Since the introduction of the MB, a major problem has been poor patient compliance due to the perception of the brace as cosmetically unacceptable. The forces applied to the spine by the MB are well illustrated by White-Panjabi (1). According to circadian biological rhythm, a sleeping person R...

We aimed to provide a complex assessment of adult females with adolescent idiopathic scoliosis (AIS) after a minimum of 23 years after completed Milwaukee brace treatment. In the present study, a comparison between healthy female and AIS patients' perception of trunk disfigurement, self-image, mental health, pain level and everyday activity was made. Thirty AIS patients with a mean of 27.77 yrs...

Bracing for juvenile and adolescent idiopathic scoliosis has a long history of use. Effectiveness of conventional rigid bracing is highly variable, likely depending upon the skill of the practitioner, the type of brace selected, and the type of scoliosis being treated. In review of various bracing studies, Dolan and Weinstein found that bracing does not result in superior clinical outcomes comp...

Twenty-seven children with progressive infantile idiopathic scoliosis have been reviewed after long-term management. Twenty-two children had single thoracic curves which were diagnosed at an early age and treated in a modified Milwaukee brace until the age of ten years when the spine was corrected and fused. The mean correction after operation was 40 per cent of the initial degree of curvature ...