Jens Seifert

Bio: Jens Seifert is an academic researcher. The author has contributed to research in topics: Brace & Scoliosis. The author has an hindex of 2, co-authored 3 publications receiving 5 citations.

Early night-time-bracing – an alternative in AIS management

Abstract: As a result of physical and psychological stress we often find very weak compliance for traditional Scoliosis Full-Time-Bracing (FTB) in comparison to Night-Time-Bracing (NTB) [1]. The investigation tries to find out whether or not Early Night-Time-Bracing (ENTB, 16-25 COBB) can effectively stop AIS progression and prevent Full-Time-Bracing.

Compliance comparison of different bracing concepts

Abstract: Results Among the users of traditional Full-Time-Braces we found an noncompliance rate of more than 40% during daytime. All of the braces were worn much more regularly during the night. Noncompliance rates for night use ranged from 15.3% (traditional Full-Time-Braces) to only 8% for isolated Night-Time-Braces. 86.6% of the patients indicated that their quality of life (QOL) was most affected during daytime use and only 7.2% during night use. 98% of patients and parents preferred ENTB and were against waiting for verification of progression, because the avoidance of Full-Time-Treatment had highest priority for them. But facts are completely reverse: Only 13% of AIS brace-patients get an EarlyNight-Time-Treatment. The majority of patients are still getting treatment at more than 25° Cobb and ad hoc 23 hours.

Early night-time-bracing - an alternative in scoliosis management

Abstract: Methods We present the results of 22 early treated scoliosis patients, treated all with a Dresdner night-time brace at one institution. The average age was 11.9 years and the average follow up was 24.9 months after brace discontinuation. Treatment was considered successful if there was improvement in the curve or up to a maximum progression of 5° and if there was no progression above an absolute value of 25° COBB.

Treatment of bracing for adolescent idiopathic scoliosis patients: a meta-analysis

Abstract: A meta-analysis was conducted to compare the efficacy and safety of bracing and other treatments in adolescent idiopathic scoliosis (AIS) patients. PubMed, Embase, and Cochrane Central Register of Controlled Trials were searched for randomized controlled trials that investigated bracing and other treatments for AIS. The Mantel–Haenszel method with fixed-effects or random-effects model was used to calculate the relative risks and 95% confidence intervals (CIs). The results of heterogeneity, sensitivity analysis, and publication bias were analyzed. Seven studies that met the eligibility criteria with 791 participants were included. The results of meta-analysis suggested significant differences between bracing and observation groups in successful outcomes [OR 3.58, 95% CI (1.92, 6.68), P < 0.0001; P for heterogeneity = 0.008, I2 = 65%], quality of life [MD = 2.13, 95% CI (0.51, 3.75), P = 0.01; P for heterogeneity = 0.89, I2 = 0%], and adverse events [OR 5.31, 95% CI (2.42, 11.66), P < 0.0001; P for heterogeneity = 0.78, I2 = 0%]. The findings of this meta-analysis suggested that bracing is efficient and safe for the treatment of AIS. These slides can be retrieved under Electronic Supplementary Material.

Bracing for Idiopathic Scoliosis: Improving Adherence through Psychological Intervention

Abstract: Poor treatment adherence is increasingly being recognized as a significant problem in pediatric medicine. For the condition Adolescent Idiopathic Scoliosis, poor adherence rates to the most non-surgical intervention, orthotic bracing, have become a well-established fact. This treatment modality has been correlated with multiple psychosocial areas of difficulty, including low self image, suicidal ideation, feelings of isolation, social discomfort, depression, an external locus of control, increasing risk taking behavior, high levels of stress, anger, fear, shame, and eating disorders. Since the orthotic bracing has been linked to both poor adherence and to psychosocial problems, an intervention is created to increase adherence through the use of psychosocial techniques. Cognitive behavioral therapy has been used successfully to increase treatment adherence in both adult and pediatric patients. Thus, a comprehensive program is put forth that aims to increase bracing adherence by means of a cognitive behavioral intervention. Additionally, methods for studying the psychometric properties of this intervention are proposed.

Early night-time-bracing – an alternative in AIS management

Abstract: As a result of physical and psychological stress we often find very weak compliance for traditional Scoliosis Full-Time-Bracing (FTB) in comparison to Night-Time-Bracing (NTB) [1]. The investigation tries to find out whether or not Early Night-Time-Bracing (ENTB, 16-25 COBB) can effectively stop AIS progression and prevent Full-Time-Bracing.

Compliance comparison of different bracing concepts

Abstract: Results Among the users of traditional Full-Time-Braces we found an noncompliance rate of more than 40% during daytime. All of the braces were worn much more regularly during the night. Noncompliance rates for night use ranged from 15.3% (traditional Full-Time-Braces) to only 8% for isolated Night-Time-Braces. 86.6% of the patients indicated that their quality of life (QOL) was most affected during daytime use and only 7.2% during night use. 98% of patients and parents preferred ENTB and were against waiting for verification of progression, because the avoidance of Full-Time-Treatment had highest priority for them. But facts are completely reverse: Only 13% of AIS brace-patients get an EarlyNight-Time-Treatment. The majority of patients are still getting treatment at more than 25° Cobb and ad hoc 23 hours.

Management of progressive late onset scoliosis with magnetic growth rod insertion leading to improvement of neural anomalies—a case report

Abstract: Background: To present the first known reported case of late onset idiopathic scoliosis with concomitant neural anomalies, treated with sequential distraction using magnetic growth rod, had significant improvement in both cranio-cervical and intraspinal anomaly. Methods: A caucasian, growing female child (at the age of ten) presented with moderately progressive late onset right thoracic scoliosis. She was found to have Chiari type I malformation and a cervicothoracic syrinx on routine pre-operative MRI scanning. We treated this child by inserting magnetic growing rod (MGR) system. After 48 months of follow up with serial distractions, the metalwork (MGR) was removed due to aseptic wound breakdown and granuloma formation. Subsequently due to the progression of deformity, a definitive posterior instrumented spinal fusion was done. A repeat MRI Scan of the Spine was done prior to this definitive procedure to assess for any residual neural anomalies. Results: The Chiari type I malformation appeared to have completely resolved, with no cerebellar tonsillar herniation seen, and a significant improvement in the size of the cervicothoracic syringomyelia effectively downgrading it to a prominent central canal. Conclusions: This is a unique case of progressive late onset idiopathic scoliosis with associated Chiari malformation and syringomyelia, showing an improvement in these neural anomalies after gradual and protracted distractive lengthening of the spine with MGR.