Compliance as a prognostic factor in the treatment of idiopathic scoliosis

Seifert, J.; Selle, Andreas; Flieger, Carolin; Günther, Klaus‐Peter

doi:10.1007/s00132-008-1367-5

Cited by 21 publications

(4 citation statements)

References 28 publications

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“…Several factors may have influence the efficacy of brace treatment, including age, gender, bone maturity, prescribed hours of bracing, and curve pattern and magnitude. In particular, a recent Cochrane Review [9-11] and a meta-analysis by Rowe [12] have shown that compliance has a great impact on the outcome of bracing. Indeed, the guidelines released by the Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) indicate adherence as a key element in determining the efficacy of bracing [13,14].…”

Section: Introductionmentioning

confidence: 99%

Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: SOSORT 2014 award winner

et al. 2014

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BackgroundOver the last years, evidence has accumulated in support of bracing as an effective treatment option in patients with idiopathic scoliosis. Yet, little information is available on the impact of compliance on the outcome of conservative treatment in scoliotic subjects. The aim of the present study was to prospectively evaluate the association between compliance to brace treatment and the progression of scoliotic curve in patients with idiopathic adolescent (AIS) or juvenile scoliosis (JIS).MethodsAmong 1.424 patients treated for idiopathic scoliosis, 645 were eligible for inclusion criteria. Three outcomes were distinguished in agreement with the SRS criteria: curve correction, curve stabilization and curve progression. Brace wearing was assessed by one orthopaedic surgeon (LA) and scored on a standardized form. Compliance to treatment was categorized as complete (brace worn as prescribed), incomplete A (brace removed for 1 month), incomplete B (brace removed for 2 months), incomplete C (brace removed during school hours), and incomplete D (brace worn overnight only). Chi square test, T test or ANOVA and ANOVA for repeated measures tests were used as statistical tests.ResultsThe results from our study showed that at follow-up the compliance was: Complete 61.1%; Incomplete A 5.2%; Incomplete B 10.7%; Incomplete C 14.2%; Incomplete D 8.8%. Curve correction was accomplished in 301/319 of Complete, 19/27 Incomplete A, 25/56 Incomplete B, 52/74 Incomplete C, 27/46 Incomplete D. Cobb mean value was 29.8 ± 7.5 SD at beginning and 17.1 ± 10.9 SD at follow-up. Both Cobb and Perdriolle degree amelioration was significantly higher in patients with complete compliance over all other groups, both in juvenile, both in adolescent scoliosis. In the intention-to-treat analysis, the rate of surgical treatment was 2.1% among patients with definite outcome and 12.1% among those with drop-out. Treatment compliance showed significant interactions with time.ConclusionCurve progression and referral to surgery are lower in patients with high brace compliance. Bracing discontinuation up to 1 month does not impact on the treatment outcome. Conversely, wearing the brace only overnight is associated with a high rate of curve progression.

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Section: Introductionmentioning

confidence: 99%

Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: SOSORT 2014 award winner

et al. 2014

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“…Unser Studienkonzept konnte nicht determinieren, ob grundsätzliche mentale Gesundheit und eine höhere LQ diesen Effekt verursachen. Die Ergebnisse dieses Fragenabschnittes zeigte uns, dass unsere Patienten auch den anderslautenden Empfehlungen einer höheren und damit aufwendigeren Tragezeit aus anderen Quellen folgten [16].…”

Section: Diskussionunclassified

“…Andere Autoren konnten zudem zeigen, dass es seltener zu einem Therapieerfolg kommt, wenn generell eine geringe Erwartung an die Korsetttherapie gestellt wurde [38]. Eine längere Dauer der Therapie sowie ein höheres Alter korrelieren außerdem mit einer niedrigen Compliance [16,48].…”

Section: Diskussionunclassified

Krankheitsspezifisches Wissen in der konservativen Therapie der idiopathischen Adoleszentenskoliose

et al. 2018

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“…While a brace can prevent progression of a curve in the majority of patients, it usually does not correct an established deformity [4,6]. Noncompliance can be observed as a major associated problem [8]. Anterior, unilateral vertebral body stapling is an alternative to braces in the treatment of IS.…”

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confidence: 99%

Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis

Trobisch

Samdani

Cahill

et al. 2011

Oper Orthop Traumatol

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Compliance as a prognostic factor in the treatment of idiopathic scoliosis

Abstract: Compliance with orthosis therapy and the amount of primary correction are together the most important factors for predicting the final outcome of brace treatment in idiopathic scoliosis. Influencing factors on compliance must be further analyzed.

Cited by 21 publications

References 28 publications

Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: SOSORT 2014 award winner

Correlation between compliance and brace treatment in juvenile and adolescent idiopathic scoliosis: SOSORT 2014 award winner

Krankheitsspezifisches Wissen in der konservativen Therapie der idiopathischen Adoleszentenskoliose

Vertebral body stapling as an alternative in the treatment of idiopathic scoliosis

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