Spinal braces

Braces are quite hard work for parents and child and take some getting used to. Cooperation all round is essential. The Boston Brace is commonly used in the UK, particularly in curves that become evident before puberty since these are more likely to increase during the adolescent growth spurt than curves that start during adolescence. Sometimes braces are used in 10, 11, and 12 year olds to control the curve with a view to operating nearer the end of growth at the age of 14 or so. At this later age (14) the rib bulge is less likely to worsen, as sometimes happens when surgery is done while the child is still growing.

It is fair to say that bracing is controversial so far as its long-term outcomes are concerned, in that it seeks to prevent worsening of the curvature. Surgery is the only way that a curvature can be substantially corrected. Sometimes bracing is unsuccessful. These pros and cons must be discussed in detail with the specialist.

A skilled brace maker will individually fit the brace, and one or two visits may be necessary to make it as comfortable as possible. Braces are normally worn 23.5 hours a day after a preliminary period. They are generally only removed for exercises and swimming. Towards the end of the treatment they may be worn at night only. Again, the specialist will advise the patient. If the brace proves to be difficult or ineffective, surgery may be the best option after discussion with the specialist.