Evidence map›Paper›PMID 29094108›Full record

ArticleScoliosis and spinal disorders2017

Curve progression after long-term brace treatment in adolescent idiopathic scoliosis: comparative results between over and under 30 Cobb degrees - SOSORT 2017 award winner.

Angelo G Aulisa, Vincenzo Guzzanti, Francesco Falciglia, Marco Galli, Paolo Pizzetti, Lorenzo Aulisa

Open access · hybridAbstract read
In one paragraph

Article in Scoliosis and spinal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Surgical vs non-surgical management of adolescent idiopathic scoliosis: a 10-year narrative review of health-related quality of life and radiographic progression in 3315 patients.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 · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. The impact of pregnancy on women with adolescent idiopathic scoliosis: a scoping review.European journal of physical and rehabilitation medicine · 2023
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Brace treatment for patients with scoliosis: State of the art.The South African journal of physiotherapy · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. When Should We Wean Bracing for Adolescent Idiopathic Scoliosis?Clinical orthopaedics and related research · 2019
    Article
  19. Article
  20. Bracing In The Treatment Of Adolescent Idiopathic Scoliosis: Evidence To Date.Adolescent health, medicine and therapeutics · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Angelo G AulisaU.O.C. of Orthopedics and Traumatology, Children's Hospital Bambino Gesù, Institute of Scientific Research, P.zza S. Onofrio 4, 00165 Rome, Italy.ORCID 0000-0003-2917-9385
Vincenzo GuzzantiU.O.C. of Orthopedics and Traumatology, Children's Hospital Bambino Gesù, Institute of Scientific Research, P.zza S. Onofrio 4, 00165 Rome, Italy.
Francesco FalcigliaU.O.C. of Orthopedics and Traumatology, Children's Hospital Bambino Gesù, Institute of Scientific Research, P.zza S. Onofrio 4, 00165 Rome, Italy.
Marco GalliDepartment of Orthopedics, University Hospital "Agostino Gemelli", Catholic University of the Sacred Heart School of Medicine, 00168 Rome, Italy.
Paolo PizzettiU.O.C. of Orthopedics and Traumatology, Children's Hospital Bambino Gesù, Institute of Scientific Research, P.zza S. Onofrio 4, 00165 Rome, Italy.
Lorenzo AulisaDepartment of Orthopedics, University Hospital "Agostino Gemelli", Catholic University of the Sacred Heart School of Medicine, 00168 Rome, Italy.
Bambino Gesù Children's Hospital · ITUniversità Cattolica del Sacro Cuore · ITUniversità degli studi di Cassino e del Lazio Meridionale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe factors influencing curve behavior following bracing are incompletely understood and there is no agreement if scoliotic curves stop progressing with skeletal maturity. The aim of this study was to evaluate the loss of the scoliotic curve correction in patients treated with bracing during adolescence and to compare patient outcomes of under and over 30 Cobb degrees, 10 years after brace removal.

methodsWe reviewed 93 (87 female) of 200 and nine patients with adolescent idiopathic scoliosis (AIS) who were treated with the Lyon or PASB brace at a mean of 15 years (range 10-35). All patients answered a simple questionnaire (including work status, pregnancy, and pain) and underwent clinical and radiological examination. The population was divided into two groups based on Cobb degrees (< 30° and > 30°). Statistical analysis was performed to test the efficacy of our hypothesis.

resultsThe patients underwent a long-term follow-up at a mean age of 184.1 months (±72.60) after brace removal. The pre-brace scoliotic mean curve was 32.28° (± 9.4°); after treatment, the mean was 19.35° and increased to a minimum of 22.12° in the 10 years following brace removal. However, there was no significant difference in the mean Cobb angle between the end of weaning and long term follow-up period (

conclusionsScoliotic curves did not deteriorate beyond their original curve size after bracing in both groups at the 15-year follow-ups. These results are in contrast with the history of this pathology that normally shows a progressive and lowly increment of the curve at skeletal maturity. Bracing is an effective treatment method characterized by positive long-term outcomes, including for patients demonstrating moderate curves.

Indexed as

Adolescent idiopathic scoliosisBrace treatmentFollow-upLong termP.A.S.B

Identifiers

PMID29094108
PMCPMC5662099
OpenAlexW2765151057

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Registered trials

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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.