Idiopathic thoracic lordoscoliosis is more common and more productive of
respiratory compromise than is kyphoscoliosis. In some patietns with
idiopathic scoliosis, thoracic lordosis is the predominant component of the
disease. Five such patients, all of whom had idiopathic scoliosis with
excessive thoracic lordosis, progressive deformity despite Milwaukee brace
treatment, and significant compromise of pulmonary function, are presented.
Harrington instrumentation (distraction rod only) and spine fusion improved
the deformity and respiratory function. The recommended treatment for this
type of idiopathic scoliosis is early recognition and prompt surgical
correction. The Milwaukee brace should be avoided. Postoperative management
must include early ambulation combined with vigorous breathing
exercises.