Evidence map›Paper›PMID 36360400›Full record

ReviewChildren (Basel, Switzerland)2022

Bracing Interventions Can Help Adolescents with Idiopathic Scoliosis with Surgical Indication: A Systematic Review.

Fabio Zaina, Claudio Cordani, Sabrina Donzelli, Stefano Giuseppe Lazzarini, Chiara Arienti, Matteo Johann Del Furia, Stefano Negrini

Open access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
  5. Article
  6. Article
  7. Wearing a brace for idiopathic scoliosis above 18 hrs/day shows a dose-response effect on the outcomes improvement and end-of-treatment Cobb angle below 30 degrees.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
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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

7 authors at 4 institutions in 1 country.

Fabio ZainaISICO (Italian Scientific Spine Institute), 20141 Milan, Italy.ORCID 0000-0002-1256-5362
Claudio CordaniIRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy.ORCID 0000-0002-9014-7887
Sabrina DonzelliISICO (Italian Scientific Spine Institute), 20141 Milan, Italy.ORCID 0000-0002-6637-7797
Stefano Giuseppe LazzariniIRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.ORCID 0000-0002-9576-2459
Chiara ArientiIRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy.
Matteo Johann Del FuriaIRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy.ORCID 0000-0001-6786-2885
Stefano NegriniIRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy.ORCID 0000-0002-1878-2747
Don Carlo Gnocchi Foundation · ITIstituto Ortopedico Galeazzi · ITIstituto Scientifico Italiano Colonna Vertebrale · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is a common agreement that bracing is appropriate for curves between 20 and 40° for the Cobb angle during growth, but for larger curves, the experts' opinions are not consistent. We designed this systematic review to report the updated evidence about the effectiveness of bracing in scoliosis patients with curves ≥40° and a residual growth period. We included randomized controlled trials, non-randomized controlled trials, prospective and retrospective observational studies, and case series addressing the effect of bracing in patients with idiopathic scoliosis during growth with curves ≥40° for the Cobb angle, published from 2000 onwards. Outcome: The percentage of patients with surgery, curves above 45° or 50°, and a Cobb angle change are all included in the study. Nine papers (563 patients, average worst curve of 44.8°) are included: four are retrospective case series, two are retrospective and two are prospective cohort studies, and one is a prospective controlled study. The overall quality was good, with respect to the type of design. A total of 32% of the patients improved, 26% were stable, and 42% worsened. The rate of improvement ranged from 11% to 78%; the rate of worsening ranged from 4% to 64%. There are some studies suggesting the use of bracing even in the case of severe curves when patients are motivated by trying to avoid surgery. More and better-quality research with coherent outcome criteria is needed.

Indexed as

braceconservative treatmentidiopathic scoliosispediatricsrehabilitationsurgerysystematic review

Identifiers

PMID36360400
PMCPMC9688311
OpenAlexW4308120365

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.