NHỮNG VẤN ĐỀ PHÁT SINH VÀ CÁC YẾU TỐ LIÊN QUAN ĐẾN KẾT CUỘC TRONG ĐIỀU TRỊ VẸO CỘT SỐNG VÔ CĂN BẰNG ÁO NẸP BOSTON-CHÊNEAU

Abstract

Objectives: Identify the disadvantages and evaluate factors related to treatment outcomes in patients with idiopathic scoliosis at the Ho Chi Minh City Hospital for Rehabilitation – Professional Diseases. Patients and methods: A retrospective study of idiopathic scoliosis patients treated conservatively with Boston-Chêneau orthopedic braces at the Occupational Disease Rehabilitation and Treatment Hospital from June 2022 to June 2023. Results: The study enrolled 132 patients, girls accounting for the majority (90.9%). The median age was 12.5 ± 2.4 years. Children's use of braces was close to compliance, with a 79.5% rate of > 20 hours per day. The rate of "success" treatment was 78.1%, and shortness of breath and pain were common symptoms in women with rates of 84.2% and 95.0%, respectively. There were non-statistically significant differences in what problems arose between boys and girls. The study has not found an association between treatment outcomes and associated factors. Conclusion: Idiopathic scoliosis is more common in girls than boys. Children adhere to the time of use of the brace shirt resulting in a shorter adaptation time. As a result, the child has a fairly high result of "success" treatment, and the duration of treatment is significantly reduced. However, the difficulty of long-term treatment of the splint is that it causes unpleasant symptoms in the child, pain and breathless are the most common.