Brace Treatment in Adolescent Idiopathic Scoliosis Patients with Curve Between 40° and 45°: Effectiveness and Related Factors

Xu, Leilei; Yang, Xin; Wang, Yuwen; Wu, Zhichong; Xia, Chao; Qiu, Yong; Zhu, Zezhang

doi:10.1016/j.wneu.2019.03.008

Cited by 13 publications

(33 citation statements)

References 23 publications

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“…The effectiveness of the Boston brace was investigated in three studies [ 22 , 23 , 24 ]. The success rate was 51–83% in a total of 169 patients [ 22 , 24 ]. Yrjönen et al found that 63% of boys had a successful treatment compared to 78% of the girls [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen non-comparative studies are represented in ( a ) and three comparative studies in ( b ). The grey color represents the rigid full-time concept, the red color the night-time concept, the green one the soft concept, and the orange color represents the control group [ 4 , 5 , 22 , 24 , 28 , 31 , 34 , 35 , 37 , 39 , 40 , 41 , 44 , 45 , 46 , 51 ].…”

Section: Figurementioning

confidence: 99%

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The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis

Costa

Schlösser

Jimale

et al. 2021

JCM

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Brace treatment is the most common noninvasive treatment in adolescent idiopathic scoliosis (AIS); however it is currently not fully known whether there is a difference in effectiveness between brace types/concepts. All studies on brace treatment for AIS were searched for in PubMed and EMBASE up to January 2021. Articles that did not report on maturity of the study population were excluded. Critical appraisal was performed using the Methodological Index for Non-Randomized Studies tool (MINORS). Brace concepts were distinguished in prescribed wearing time and rigidity of the brace: full-time, part-time, and night-time, rigid braces and soft braces. In the meta-analysis, success was defined as ≤5° curve progression during follow-up. Of the 33 selected studies, 11 papers showed high risk of bias. The rigid full-time brace had on average a success rate of 73.2% (95% CI 61–86%), night-time of 78.7% (72–85%), soft braces of 62.4% (55–70%), observation only of 50% (44–56%). There was insufficient evidence on part-time wear for the meta-analysis. The majority of brace studies have significant risk of bias. No significant difference in outcome between the night-time or full-time concepts could be identified. Soft braces have a lower success rate compared to rigid braces. Bracing for scoliosis in Risser 0–2 and 0–3 stage of maturation appeared most effective.

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Section: Resultsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis

Costa

Schlösser

Jimale

et al. 2021

JCM

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show abstract

“…The biggest achievement is that the obtained data correlate and demonstrate mitigation of structural scoliosis symptoms. 11 A review of the results achieved by the comparison group reveals mild positive clinical dynamics in juvenile and adolescent subjects. The Cobb's angle dynamics observed across the groups, which takes into account the degree and localization of curvatures, is presented in Table 2.…”

Section: Discussionmentioning

confidence: 99%

Conservative Treatment of Juvenile and Adolescent Idiopathic Scoliosis

2020

IJFMT

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The study relies on data received during treatment of 128 children and teenagers suffering idiopathic scoliosis. The subjects' median age is 10,2±0,39 years old. In the treatment group (90 juvenile subjects), treatment of scoliosis has been carried out according to an optimized conservative integrated algorithm with reliance on bone mineral density indicators and the Cobb's angle. The length of treatment averages 1,5±0,2 years (1 to 3 years).The control group (30 subjects) has undergone traditional correction on an outpatient basis with the use of standard method: therapeutic exercise, massage, physiotherapy. The length of treatment averages 1.7±0,1 years (1 to 3 years).Compared to traditional method, optimized conservative integrated treatment of idiopathic scoliosis demonstrates a 29% higher occurrence of positive results. Efficacy of brace treatment of moderate and severe progressive juvenile/adolescent scoliosis has been observed, as it has reduced spinal deformation and eased socio environmental adaptation.

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“…Therefore, this study investigated the effectiveness of brace treatment on AIS with 40° to 55° curves who had refused to do surgery. Assessment of potential risk factors which can be associated with brace treatment failure such as prebrace Cobb angle, 15 curve type, 16 Risser sign, 17 and in-brace curve improvement 8 had been the secondary objectives of our study. We hypothesized that these parameters have a role in-brace treatment effectiveness in AIS with 40° to 55° curves.…”

Section: Neurospine Eissn 2586-6591 Pissn 2586-6583mentioning

confidence: 99%

“…4,5 For patients with more than 40° curves, brace's effectiveness decreases and surgery is often recommended. [6][7][8] However, despite the recommendation for doing surgery, some patients strongly refuse to do it and prefer to wear a brace.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Brace Treatment on Large Curves of 40° to 55° in Adolescents With Idiopathic Scoliosis Who Have Avoided Surgery: A Retrospective Cohort Study

et al. 2021

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Objective: To evaluate the effect of Milwaukee brace treatment on adolescents with idiopathic scoliosis (AIS) with large curves (40° to 55°) who refuse to do surgery.Methods: In this retrospective cohort study, we gathered the clinical records of all adolescents with AIS with an initial curve of 40° to 55°. They had been referred to our center from December 1990 to January 2017. Although they had been advised to do surgery, they had all refused to do it. Their clinical data were recorded, such as sex, age, Risser sign, scoliosis, and kyphosis curve magnitude (at the beginning of brace treatment, weaning time, brace discontinuation, and minimum of 2 years after the treatment). Based on treatment success, the patients were divided into 2 groups: progressed and nonprogressed.Results: Sixty patients with an average initial Cobb angle of 44.93° ± 4.86° were included. The curve progressed in 57%, stabilized in 25%, and improved in 18% of the patients. In the progressed group (34 patients), 31 patients had undergone surgery. There was no significant association between the age of beginning the brace treatment and the final Cobb angle of nonprogressed group (p > 0.05). However, in-brace correction and initial Risser sign had a significant correlation with curve magnitude at the final follow-up (p < 0.05).Conclusion: Brace treatment seems to be effective in controlling the further curve progression in AIS with 40° and 55° curves. Our results can help physicians make sound decisions about the patients with larger curves who refuse to do surgery.

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Brace Treatment in Adolescent Idiopathic Scoliosis Patients with Curve Between 40° and 45°: Effectiveness and Related Factors

Cited by 13 publications

References 23 publications

The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis

The Effectiveness of Different Concepts of Bracing in Adolescent Idiopathic Scoliosis (AIS): A Systematic Review and Meta-Analysis

Conservative Treatment of Juvenile and Adolescent Idiopathic Scoliosis

The Effect of Brace Treatment on Large Curves of 40° to 55° in Adolescents With Idiopathic Scoliosis Who Have Avoided Surgery: A Retrospective Cohort Study

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