ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023
Does Risser stage accurately predict the risk of curve progression in patients with adolescent idiopathic scoliosis treated with night-time bracing?
Article in 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, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 16 citations in OpenAlex.
- Can curve characteristics predict severe progression in night-time bracing in adolescent idiopathic scoliosis?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 · 2026Article
- Curve progression in female adolescent idiopathic scoliosis with Risser grade ≥ 3: incidence, magnitude, and risk factors in a cohort of 915 unbraced female patients.Spine deformity · 2026Article
- Patient-Reported and Technology-Assisted Monitoring in Orthotic Management of Adolescents With Idiopathic Scoliosis: Scoping Review.JMIR mHealth and uHealth · 2026Article
- Three-dimensional trunk adjustment based on surface markers in treating mild to moderate adolescent idiopathic scoliosis.Frontiers in pediatrics · 2026Article
- Age and in-brace Cobb angle predict brace failure in adolescent idiopathic scoliosis.Spine deformity · 2026Article
- Age and in-brace Cobb angle predict brace failure in adolescent idiopathic scoliosis.Spine deformity · 2026Article
- Answer to the letter to the editor of E. Yıldırım, et al. concerning "MRI in early stages of adolescent idiopathic scoliosis indicates a neuro-osseous growth mismatch associated with curve progression" by S. Ohrt-Nissen (Eur spine J [2025]; doi.org/10.1007/s00586-024-08640-9).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 · 2025Article
- Growth modulation increases clinical success in vertebral body tethering.Spine deformity · 2025Article
- Automatic Evaluation of Bone Age Using Hand Radiographs and Pancorporal Radiographs in Adolescent Idiopathic Scoliosis.Diagnostics (Basel, Switzerland) · 2025Article
- Feasibility and age-related trends of a home-based online exercise program in adolescents with idiopathic scoliosis.Frontiers in pediatrics · 2025Article
- Does the coronal deformity angular ratio affect bracing outcome in adolescent idiopathic scoliosis?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 · 2024Article
- The Efficacy of Night Bracing in the Treatment of Adolescent İdiopathic Scoliosis: A Systematic Review.Journal of clinical medicine · 2024Review
- The influence of night-time bracing on curve progression is not affected by curve magnitude in adolescent idiopathic scoliosis: a study of 299 patients.Acta orthopaedica · 2024Review
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRisser stage is widely used as a marker for skeletal maturity (SM) and thereby an indirect measure for the risk of progression of adolescent idiopathic scoliosis (AIS). The Scoliosis Research Society recommends bracing for Risser stages 0-2 as Risser stage 3 or above is considered low risk. Very few studies have assessed the risk of progression during bracing in Risser stages 3-4. The objective of the current study is to determine if Risser stages 3-4 provide a meaningful cutoff in terms of progression risk in patients with AIS treated with night-time bracing.
methodsAIS patients treated with night-time brace from 2005 to 2018 with a Cobb angle between 25 and 40 degrees and Risser stages 0-4 were retrospectively included. Curve progression (> 5 degrees increase) was monitored until surgery or SM. Skeletal maturity was defined as either 2 years postmenarchal, no height development or closed ulnar epiphyseal plates on radiographs.
resultsOne hundred and thirty-five patients were included (Risser stages 0-2: n = 86 and 3-4: n = 49). Overall, radiographic curve progression occurred in 52% while progression beyond 45 degrees was seen in 35%. The progression rate in the Risser 0-2 group was 60% and 37% in the Risser 3-4 group (p = 0.012). In multivariate logistic regression analysis, adjusted for Risser stages and age, only premenarchal status showed a statistically significant association with progression (OR: 2.68, 95%CI 1.08-6.67).
conclusionRisser stage does not provide a clinically meaningful differentiation of progression risk in AIS patients treated with a night-time brace. Risk assessment should include other more reliable measures of skeletal growth potential.
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