Evidence map›Paper›PMID 34063540›Full record

ReviewJournal of clinical medicine2021

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

Lorenzo Costa, Tom P C Schlosser, Hanad Jimale, Jelle F Homans, Moyo C Kruyt, René M Castelein

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

36 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Night-time detorsion brace can help avoid surgery in almost half of juvenile idiopathic scoliosis patients followed until skeletal maturity.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 · 2026
    Article
  14. Article
  15. Providence Bracing in Idiopathic Scoliosis: A Scoping Review.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
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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.

Lorenzo CostaDepartment of Orthopaedic Surgery, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0001-9439-5186
Tom P C SchlosserDepartment of Orthopaedic Surgery, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0003-1517-5914
Hanad JimaleDepartment of Orthopaedic Surgery, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.
Jelle F HomansDepartment of Orthopaedic Surgery, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.
Moyo C KruytDepartment of Orthopaedic Surgery, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.
René M CasteleinDepartment of Orthopaedic Surgery, University Medical Center Utrecht, 3508 GA Utrecht, The Netherlands.ORCID 0000-0002-6182-0315

Funding

H2020 Marie Skłodowska-Curie Actions 801540
6 · The paper itself

Abstract

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.

Indexed as

adolescent idiopathic scoliosisbrace conceptsbrace therapymeta-analysisnight time bracerigid bracesystematic review

Identifiers

PMID34063540
PMCPMC8156678

What OpenQuestion holds

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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.