ArticleSpine deformity2023
Early brace treatment for idiopathic scoliosis may change the paradigm to improve curves.
Article in Spine deformity, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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.
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Who cites it
8 citing papers in PubMed.
- Boys with adolescent idiopathic scoliosis treated with nighttime bracing have similar outcomes to girls.Spine deformity · 2026Article
- In-brace correction but not coronal deformity angular ratio is associated with curve progression in nighttime brace treatment for adolescent idiopathic scoliosis.Spine deformity · 2026Article
- Brace yourself (Part-time): part-time bracing leads to curve improvement in juvenile idiopathic scoliosis.Spine deformity · 2026Article
- Three-dimensional Rigo Cheneau-style brace for adolescent idiopathic scoliosis: higher in-brace correction and lower rates of curve progression.Spine deformity · 2025Article
- Assessment and Management of Adolescent Idiopathic Scoliosis: From the Perspective of a Physiatrist.Annals of rehabilitation medicine · 2025Article
- Conservative treatment of adolescent idiopathic scoliosis: the effectiveness of rigid bracing.Journal of orthopaedic surgery and research · 2025Article
- Outcomes for nighttime bracing in adolescent idiopathic scoliosis based on brace wear adherence.Spine deformity · 2024Article
- Early Brace Treatment: The New Standard for Adolescent Idiopathic Scoliosis?JB & JS open accessArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study evaluated whether early brace treatment of curves < 25° decreased the prevalence of curve progression and surgery.
methodsIn a retrospective review, patients with idiopathic scoliosis Risser stages 0 to 2 braced at < 25° were followed until brace discontinuation, skeletal maturity, or surgery. Patients with predominantly primary thoracolumbar/lumbar curves were prescribed nighttime braces (NTB) and thoracic curves were prescribed fulltime braces (FTB). Comparisons were made for TLSO type (NTB vs. FTB) and triradiate cartilage (TRC) status (open vs. closed) at brace prescription.
results283 patients were included, 81% who were Risser stage 0 with curves averaging 21.8° ± 2.1° at brace prescription. The average curve change was 2.4° ± 11.2°. Curves improved ≥ 6° in 23% of patients. Patients who were not skeletally mature at brace discontinuation (n = 39) had lower Cobb angles (16.7° vs. 23.9°, p < 0.001), better curve improvement (- 4.7° vs. 2.1°, p < 0.001), and were braced for a shorter period of time (1.8 years vs. 2.3 years, p = 0.011) than those who were skeletally mature at brace discontinuation (n = 239). Only 7% of patients in NTB and 8% of patients in FTB with open TRC required surgery. The numbers needed to treat to prevent surgery in patients in FTB with open TRC was calculated to be 4.
conclusionEarly brace treatment (Cobb < 25° and open TRC) may not only reduce curve progression and the need for surgical treatment but may also result in curve improvement, thus challenging the paradigm that the goal of bracing is merely to stop curve progression. LEVEL OF EVIDENCE: 3-retrospective cohort study.
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