Trial reportJournal of pediatric orthopedics2014
Nighttime bracing versus observation for early adolescent idiopathic scoliosis.
Trial report in Journal of pediatric orthopedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.
- Pooled it
- Braces for idiopathic scoliosis in adolescents.The Cochrane database of systematic reviews · 2015Pooled it
- In-brace correction but not coronal deformity angular ratio is associated with curve progression in nighttime brace treatment for adolescent idiopathic scoliosis.Spine deformity · 2026Article
- Variability in the association between angle of trunk rotation and Cobb angle based on demographic factors.Spine deformity · 2026Article
- Mechanical Modeling and Experimental Validation of a Front-Push Orthopedic Brace: Compressive-Shear Force Characterization Under Controlled Misalignment.Bioengineering (Basel, Switzerland) · 2026Article
- Philippine Clinical Practice Guidelines for Periodic Health Examination: Screening for Musculoskeletal Disorders.Acta medica Philippina · 2026Article
- Could Novel Spinal Braces with Flexibility, Robotic Components, and Individualized Design Generate Sufficient Biomechanical Treatment Efficacy in Patients with Scoliosis?Bioengineering (Basel, Switzerland) · 2025Review
- Outcomes for nighttime bracing in adolescent idiopathic scoliosis based on brace wear adherence.Spine deformity · 2024Article
- Optimized braces for the treatment of adolescent idiopathic scoliosis: A study protocol of a prospective randomised controlled trial.PloS one · 2024Article
- Nighttime versus Fulltime Brace Treatment for Adolescent Idiopathic Scoliosis: Which Brace to Choose? A Retrospective Study on 358 Patients.Journal of clinical medicine · 2023Article
- Early brace treatment for idiopathic scoliosis may change the paradigm to improve curves.Spine deformity · 2023Article
- Actuator and Contact Force Modeling of an Active Soft Brace for Scoliosis.Bioengineering (Basel, Switzerland) · 2022Article
- Spinal Deformities and Advancement in Corrective Orthoses.Bioengineering (Basel, Switzerland) · 2020Review
- 3D spinal and rib cage predictors of brace effectiveness in adolescent idiopathic scoliosis.BMC musculoskeletal disorders · 2019Article
- Editorial on "Journal of spine surgery (Hong Kong) · 2018Article
- Evaluation and management of lower back pain in young athletes.Translational pediatrics · 2017Review
- Rib-vertebral angle measurements predict brace treatment outcome in Risser grade 0 and premenarchal girls with adolescent idiopathic scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2016Article
- Postural Rehabilitation for Adolescent Idiopathic Scoliosis during Growth.Asian spine journal · 2016Review
- Response to: Evidence-Based of Nonoperative Treatment in Adolescent Idiopathic Scoliosis.Asian spine journal · 2015Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSpinal bracing is widely utilized in patients with moderate severity adolescent idiopathic scoliosis with the goal of preventing curve progression and therefore preventing the need for surgical correction. Bracing is typically initiated in patients with a primary curve angle between 25 and 40 degrees, who are Risser sign 0 to 2 and <1-year postmenarchal. The purpose of this study is to determine whether nighttime bracing using a Charleston bending brace is effective in preventing progression of smaller curves (15 to 25 degrees) in skeletally immature, premenarchal female patients relative to current standard of care (observation for curves <25 degrees).
methodsPremenarchal, Risser 0 female patients presenting to 2 pediatric orthopaedic specialty practices for evaluation of idiopathic scoliosis with Cobb angle measurements between 15 and 25 degrees were selected. They were randomized by location to receive nighttime bending brace treatment or observation. Patients in the observation group were converted to fulltime TLSO wear if they progressed to >25 degrees primary curve Cobb angle. Curve progression was monitored with minimum 2-year follow-up.
resultsSixteen patients in the observation group and 21 patients in the bracing group completed 2-year follow-up. All patients in the observation group progressed to fulltime bracing threshold. In the nighttime bracing group, 29% of the patients did not progress to 25 degrees primary curve magnitude. Rate of progression to surgical magnitude was similar in the 2 groups.
conclusionsRisser 0 patients presenting with mild idiopathic scoliosis are at high risk for progression to >25 degrees primary curve magnitude. Treatment with the Charleston nighttime bending brace may reduce progression to full-time bracing threshold. No difference in progression to surgical intervention was shown between nighttime bracing and observation for small curves. LEVEL OF EVIDENCE: Level II--therapeutic study (prospective comparative study).
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.