Women treated with a restrictive Milwaukee brace during adolescence may be at higher risk for low back pain- and neck-related disabilities in adulthood, according to a long-term study published in PLoS One.
Thirty pediatric patients with idiopathic scoliosis— as indicated in Pediatric Orthopedics and Traumatology Clinic charts — and 42 age-matched controls were included in the study. Scoliosis was managed using a Milwaukee brace, which restricts movement and is associated with reduced physical activity.
The treated girls had worn the brace for an average of 22.9±0.31 hours per day and for a mean total of 45.47±20 months (range 24-104). Girls in the control group were followed up for a mean of 27.77±3.30 years (range 23-35). From the end of treatment to follow-up, there was an average 9.1±7.64 angle in spine curvature change (range 0-27) in those who had worn the brace.
Patients who had scoliosis reported higher overall pain and higher neck- and lower back pain-related disability compared with controls (P