Evidence map›Paper›PMID 35852786›Full record

ArticleSpine deformity2022

Bracing for juvenile idiopathic scoliosis: retrospective review from bracing to skeletal maturity.

Amanda T Whitaker, Michael Timothy Hresko, Patricia E Miller, Bram P Verhofste, Alexandra Beling, John B Emans, Lawrence I Karlin, Daniel J Hedequist, Michael P Glotzbecker

Open access · hybridAbstract read
In one paragraph

Article in Spine deformity, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

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  6. 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
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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

9 authors at 3 institutions in 1 country.

Amanda T WhitakerDepartment of Orthopaedic Surgery, Shriners Hospital for Children Northern California, 2425 Stockton Blvd, Sacramento, CA, 95817, USA. Amanda.whitaker@shrinenet.org.ORCID http://orcid.org/0000-0003-3360-2609
Michael Timothy HreskoDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
Patricia E MillerDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
Bram P VerhofsteDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
Alexandra BelingDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
John B EmansDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
Lawrence I KarlinDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
Daniel J HedequistDepartment of Orthopedic Surgery, Boston Children's Hospital, 300 Longwood Ave HU 221, Boston, MA, 02115, USA.
Michael P GlotzbeckerDepartment of Orthopedic Surgery, Rainbow Babies and Children's Hospital, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Boston Children's Hospital · USRainbow Babies & Children's Hospital · USShriners Hospitals for Children - Erie · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJuvenile idiopathic scoliosis (JIS) outcomes with brace treatment are limited with poorly described bracing protocols. Between 49 and 100% of children with JIS will progress to surgery, however, young age, long follow-up, and varying treatment methods make studying this population difficult. The purpose of this study is to report the outcomes of bracing in JIS treated with a Boston brace™ and identify risk factors for progression and surgical intervention.

methodsThis is a single-center retrospective review of 175 patients with JIS who initiated brace treatment between the age of 4 and 9 years. A cohort of 140 children reached skeletal maturity; 91 children had surgery or at least 2 year follow-up after brace completion. Standard in-brace protocol for scoliosis

resultsChildren were average 7.9 years old (range 4.1-9.8) at the initiation of bracing. The Boston brace™ was prescribed in 82 patients and nine used night bending brace. Mid-thoracic curves (53%) was the most frequent deformity. Maximum curve at presentation was on average 30 ± 9 degrees, in-brace curve angle was 16 ± 8 degrees, and in-brace correction was 58 ± 24 percent. Patients were braced an average of 4.6 ± 1.9 years. 61/91 (67%) went on to posterior spinal fusion at 13.3 ± 2.1 (range 9.3-20.9) years and curve magnitude of 61 ± 12 degrees. Of those that underwent surgery, 49/55 (86%) progressed > 10°, 6/55 (11%) stabilized within 10°, and 0/55 (0%) improved > 10° with brace wear. No children underwent growth-friendly posterior instrumentation. Of the 28 who did not have surgical correction, 3 (11%) progressed > 10°, 13/28 (46%) stabilized within 10°, and 12/28 (43%) improved > 10° with brace wear.

conclusionsThis large series of JIS patients with bracing followed to skeletal maturity with long-term follow-up. Surgery was avoided in 33% of children with minimal to no progression, and no child underwent posterior growth-friendly constructs. Risk factors of needing surgery were noncompliance and larger curves at presentation.

Indexed as

ScoliosisSpinal FusionBracesChildChild, PreschoolHumansPatient ComplianceRetrospective StudiesBracingJuvenile idiopathic scoliosisNon-operative treatment scoliosisScoliosisSpinal fusion

Identifiers

PMID35852786
PMCPMC9579105
OpenAlexW4285799232

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.