The Milwaukee Brace in the Nonoperative Treatment of Congenital Scoliosis

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Abstract
Sixty-three patients with well-documented congenital scoliosis were studied to determine their response to the use of the Milwaukee brace for nonoperative treatment. The results in 2 patients were classified as “very good,” 33 were classified as “good,” 8 as “fair,” and 20 as “poor.” The specific limits of these categories are defined. The authors observed that there were three types of curves, which responded to brace management: 1) the longer and flexible curves, 2) those demonstrating correctability, either in traction or on side bending, and 3) those in which there was a mixture of anomalous and nonanomalous vertebrae. Short, sharp, and rigid curves did not respond to brace treatment. The authors note that the Milwaukee brace can delay surgery in certain congenital curves, but its use cannot serve as the definitive nonoperative treatment for congenital scoliosis in most cases.

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