Scoliosis the 1950s. The Milwaukee brace was the only nonoperative and noninvasive alternative to surgery at the time to provide postoperative correction to polio patients. A curve exceeding sixty degrees required the Harrington rod technique, otherwise the Milwaukee brace was recommended. However, Canadian physician, Elizabeth Wyne, observed that fifty percent of patients wearing the Milwaukee brace still required surgery later in life. Surgery may straighten the spine however it does not necessarily eradicate a patient of all the pain they suffer from due to scoliosis. Individuals who undergo surgery are left with scars and often have a lack of feeling in
Management of scoliosis be braced. However, these are guidelines and not every patient will fit into this table. For example, an immature patient with a 17-degree Cobb angle and significant thoracic rotation or flatback could be considered for nighttime bracing. On the opposite end of the growth spectrum, a 29-degree Cobb angle and a Risser sign three or four might not need to be braced because there is reduced potential for progression. Surgery is indicated by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) at 45 degrees to 50 degrees and by the Scoliosis Research Society (SRS) at a Cobb angle of