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Soft Boston Orthosis in Management of Neuromuscular Scoliosis: A Preliminary Report

Collapsing neuromuscular spinal curvature is extremely difficult to manage with standard rigid orthoses owing to skin breakdown and patient intolerance. Experience with a new, more malleable type of spinal brace (the “soft Boston orthosis”) has been very rewarding in 55 children with neuromuscular scoliosis with an average curvature of 42°. Patient tolerance was improved in 38%, patient handling was facilitated in 68%, and postural positioning was enhanced in 79%. Although improvement in the scoliosis averaged only 15°, the major advantage of this orthosis was a marked improvement in sitting stability in 80% of patients.