The New Modular Sforzesco Brace (Modular Italian Brace) Is as Effective as the Classical One: A Retrospective Controlled Study from a Prospective Cohort
Abstract
:1. Introduction
2. Materials and Methods
2.1. Design
2.2. Participants
2.3. Treatments
2.4. Outcomes
2.5. Potential Confounders
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Group Comparisons | SfB Group (Total 178) | MIB (Total 53) | p Value (t-Test) | ||
---|---|---|---|---|---|
Mean (SD) | Number of Patients | Mean (SD) | Number of Patients | ||
Age at start (years) | 13.6 (1.7) | 178 | 13.5 (1.9) | 53 | NS |
Age at the end (years) | 14.1 (1.7) | 178 | 14.0 (2.0) | 47 | NS |
Baseline Cobb angle (T0) (Cobb °) | 40.9 (12.8) | 178 | 38.6 (11.2) | 53 | NS |
In-brace Cobb angle (T1) (Cobb °) | 23.8 (10.8) | 122 | 23.4 (10.7) | 41 | NS |
First out-of-brace X-ray Cobb angle (T2) (Cobb °) | 34.3 (11.5) | 177 | 33.1 (11.2) | 47 | NS |
In brace correction (Cobb °) | 16.9 (7.5) | 122 | 16.2 (6.5) | 41 | NS |
Cobb change from baseline to short term follow up (Cobb °) | 6.6 (7.5) | 177 | 6.0 (7.8) | 53 | NS |
Cobb angle loss from in-brace to out-of-brace (Cobb °) | 9.6 (5.8) | 122 | 9.3 (5.8) | 38 | NS |
Thoracic kyphosis change (T1–T12) (Cobb °) | −6.6 (0.6) | 177 | −6.0 (7.8) | 47 | NS |
Lumbar lordosis change (T12–L5) (Cobb °) | −3.1 (10.6) | 69 | −0.6 (8.6) | 32 | NS |
Daily brace wear (hours) | 21.7 (2.5) | 178 | 21.2 (3.9) | 44 | NS |
Baseline ATR (degrees) | 11.4 (4.5) | 177 | 10.9 (5.0) | 53 | NS |
Baseline prominence (mm) | 18.7 (8.7) | 177 | 17.0 (8.5) | 53 | NS |
Baseline TRACE | 7.8 (2.2) | 178 | 7.5 (1.9) | 53 | NS |
ATR change (°) | −3.0 (3.7) | 175 | −2.9 (5.1) | 48 | NS |
Prominence change (mm) | −4.7 (6.5) | 175 | −4.4 (7.7) | 47 | NS |
TRACE change | −3.1 (2.3) | 178 | −3.0 (2.2) | 47 | NS |
Growth (cm) | 3.2 (8.3) | 172 | 3.2 (2.0) | 46 | NS |
Time of follow up (years) | 1.2 (0.7) | 178 | 1.4 (1.2) | 47 | NS |
Number | Proportion | Number | Proportion | Chi-square (P) | |
Gender: male (n) | 26 | 14.6% | 13 | 24.5% | 2.8649 (NS) |
female | 152 | 85.4% | 40 | 75.5% | |
Risser: 0 (n) | 51 | 28.8% | 17 | 32.1% | 6.071 (NS) |
1 | 34 | 19.2% | 17 | 32.1% | |
2 | 31 | 17.5% | 8 | 15.1% | |
3 | 47 | 26.6% | 9 | 17.0% | |
4–5 | 14 | 7.9% | 2 | 3.8% | |
Improved (≥5 Cobb°) (n) | 9 | 5.1% | 11 | 20.7% | 12.73 (p < 0.001) |
Improved patients were significantly higher in MIB | |||||
Worsened ≥ 5 Cobb° (n) | 75 | 42.1% | 23 | 43.4% | 0.0266 (NS) |
Below 30 Cobb (n) | 73 | 41.0% | 22 | 41.5% | 0.0042 (NS) |
Above 45 Cobb (n) | 29 | 16.3% | 13 | 24.5% | 1.86 (NS) |
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Negrini, F.; Febbo, F.; Tessadri, F.; Zonta, A.; Tavernaro, M.; Donzelli, S.; Zaina, F.; Negrini, S. The New Modular Sforzesco Brace (Modular Italian Brace) Is as Effective as the Classical One: A Retrospective Controlled Study from a Prospective Cohort. J. Clin. Med. 2024, 13, 2075. https://doi.org/10.3390/jcm13072075
Negrini F, Febbo F, Tessadri F, Zonta A, Tavernaro M, Donzelli S, Zaina F, Negrini S. The New Modular Sforzesco Brace (Modular Italian Brace) Is as Effective as the Classical One: A Retrospective Controlled Study from a Prospective Cohort. Journal of Clinical Medicine. 2024; 13(7):2075. https://doi.org/10.3390/jcm13072075
Chicago/Turabian StyleNegrini, Francesco, Francesca Febbo, Fabrizio Tessadri, Andrea Zonta, Marta Tavernaro, Sabrina Donzelli, Fabio Zaina, and Stefano Negrini. 2024. "The New Modular Sforzesco Brace (Modular Italian Brace) Is as Effective as the Classical One: A Retrospective Controlled Study from a Prospective Cohort" Journal of Clinical Medicine 13, no. 7: 2075. https://doi.org/10.3390/jcm13072075