Evidence map›Paper›PMID 34263679›Full record

ArticleGlobal spine journal2023

Alternate In-Brace and Out-of-Brace Radiographs Are Recommended to Assess Brace Fitting and Curve Progression With Adolescent Idiopathic Scoliosis Follow-Up.

Sachiko Kawasaki, Prudence Wing Hang Cheung, Hideki Shigematsu, Masato Tanaka, Yuma Suga, Yusuke Yamamoto, Yasuhito Tanaka, Jason Pui Yin Cheung

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 2 institutions in 2 countries.

Sachiko KawasakiDepartment of Orthopaedic Surgery, Nara Medical University, Kashihara City, Nara, Japan.
Prudence Wing Hang CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-3213-7373
Hideki ShigematsuDepartment of Orthopaedic Surgery, Nara Medical University, Kashihara City, Nara, Japan.
Masato TanakaDepartment of Orthopaedic Surgery, Nara Medical University, Kashihara City, Nara, Japan.
Yuma SugaDepartment of Orthopaedic Surgery, Nara Medical University, Kashihara City, Nara, Japan.ORCID 0000-0003-0029-2464
Yusuke YamamotoDepartment of Orthopaedic Surgery, Nara Medical University, Kashihara City, Nara, Japan.
Yasuhito TanakaDepartment of Orthopaedic Surgery, Nara Medical University, Kashihara City, Nara, Japan.
Jason Pui Yin CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong SAR, China.ORCID 0000-0002-7052-0875
Nara Medical University · JPUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectiveTo determine the prevalence of missed curve progression in patients with adolescent idiopathic scoliosis (AIS) undergoing brace treatment with only in-brace follow-up radiographs, and to provide recommendations on when in-brace and out-of-brace should be obtained during follow-up.

methods133 patients who had documented clinically significant curve progression during brace treatment or only when an out-of-brace radiograph were studied. Of these, 95 patients (71.4%) had curve progression noted on in-brace radiographs while 38 patients (28.6%) showed curve progression only after brace removal. We analyzed differences in age, sex, curve types, Risser stage, months after menarche, standing out-of-brace Cobb angle, correction rate, and flexibility rate between the groups. Multivariate logistic regression was performed to determine factors contributing to curve progression missed during brace treatment.

resultsThere were no differences in initial Cobb angle between out-of-brace and in-brace deterioration groups. However, the correction rate was higher (32.7% vs 25.0%;

conclusionsPatients may develop curve progression despite good correction on in-brace radiographs. Those with higher flexibility and suboptimal brace fitting are at-risk. In-brace and out-of-brace radiographs should be taken alternately for brace treatment follow-up.

Indexed as

adolescent idiopathic scoliosisbracecurve progressionradiographs

Identifiers

PMID34263679
PMCPMC10416593
OpenAlexW3178106109

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.