The ISJ 3D Brace, a Providence Brace Evolution, as a Surgery Prevention Method in Idiopathic Scoliosis

Abstract

Background: The high incidence of idiopathic scoliosis worldwide as well as the serious health problems it can cause in adulthood, make it necessary to seek effective treatments to prevent the progression of the disease to more aggressive treatments such as surgery and improve patients’ quality of life. The use of night braces, besides a less severe influence on the patient’s quality of life, is effective in stopping the progression of the curve in idiopathic scoliosis. Methods: A longitudinal study was performed with an experimental population of 108 participants who attended orthotic treatment at the University Hospital of Barcelona, with ages between 4 and 15 years old, with a main curvature greater than 25 degrees and a Risser between 0 and 3. The participants received treatment with Providence ISJ-3D night braces until their pubertal change (mean duration of 2.78 years for males and 1.97 years for females). Results: The implementation of night-time orthotic treatment in children with idiopathic scoliosis is effective in slowing the progression of the curve and in the prevention of more aggressive treatments such as surgery, maintaining the patient’s quality of life. Conclusions: The use of night braces is efficacious in the treatment of idiopathic scoliosis, although new studies including more sociodemographic data as well as curves from 20 degrees of progression are necessary.

The Efficacy of Night Bracing in the Treatment of Adolescent İdiopathic Scoliosis: A Systematic Review

“…After removing duplicate articles, a total of 89 articles were found between 1960 and February 2024. After abstract and full-text reviews, 20 studies (21 published articles) were included in our study (Figure 1) [13,[19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38]. The two included articles were from the same randomized controlled trial.…”

“…Only one study from Sweden [33,38] is a randomized controlled study with level Ib evidence. In one study, the study design is not specified [12], and the others are uncontrolled prospective studies [13,20,23,25]. A total of 2764 participants were included in the studies (Table 1).…”

“…Although other studies reported the inclusion of patients diagnosed with adolescent idiopathic scoliosis (>10 years), one study [13] included patients aged between 4 and 15. Furthermore, the only available randomized controlled trial included patients aged 9 to 17 [33,38].…”

“…Studies generally included patients with a Risser value of 0-2. However, four studies included patients with Risser values between 0 and 3 [13,22,25,35]. Two studies, that by Hegard et al [34,37] and a randomized controlled study [34,38], included patients with Risser values between 0 and 4.…”

“…For the effectiveness of brace treatment, full-time brace use and patient compliance are important, especially in periods of rapid growth and progression [1,[7][8][9][10][11]. However, some authors nowadays suggest that using the brace only at night produces similar effects compared to full-time use [12,13].…”