Evidence map›Paper›PMID 38457029›Full record

ArticleSpine deformity2024

Outcomes for nighttime bracing in adolescent idiopathic scoliosis based on brace wear adherence.

Karina Amani Zapata, Donald Virostek, Yuhan Ma, Anne-Marie Datcu, McKenzie R Gunselman, John A Herring, Megan E Johnson

Abstract read
PubMed Publisher
In one paragraph

Article in Spine deformity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Providence Bracing in Idiopathic Scoliosis: A Scoping Review.Journal of the Pediatric Orthopaedic Society of North America · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Adolescent vs. Young Adult Idiopathic Scoliosis patients: how different are their two year postoperative radiographic and clinical outcomes?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
    Article
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.

Karina Amani ZapataScottish Rite for Children, 2222 Welborn Street, Dallas, TX, 75219, USA. Karina.zapata@tsrh.org.ORCID 0000-0002-0187-5648
Donald VirostekScottish Rite for Children, 2222 Welborn Street, Dallas, TX, 75219, USA.
Yuhan MaScottish Rite for Children, 2222 Welborn Street, Dallas, TX, 75219, USA.
Anne-Marie DatcuScottish Rite for Children, 2222 Welborn Street, Dallas, TX, 75219, USA.
McKenzie R GunselmanShriners Children's Spokane, Spokane, WA, USA.
John A HerringScottish Rite for Children, 2222 Welborn Street, Dallas, TX, 75219, USA.
Megan E JohnsonScottish Rite for Children, 2222 Welborn Street, Dallas, TX, 75219, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study determined brace wear adherence for patients treated with nighttime braces and evaluated the effect of brace adherence on curve progression.

methodsOne hundred twenty-two patients with AIS ages 10-16 years, Risser stages 0-2, major curves 20°-40° treated with Providence nighttime braces prescribed to be worn at least 8 h per night were prospectively enrolled and followed until skeletal maturity or surgery. Brace adherence was measured using iButton temperature sensors after 3 months of brace initiation and at brace discharge.

resultsCurve types were single thoracolumbar/lumbar (62%, n = 76), double (36%, n = 44), and single thoracic (2%, n = 2). Brace adherence averaged 7.8 ± 2.3 h after 3 months (98% adherence) and 6.7 ± 2.6 h at brace discharge (84% adherence). Curves that progressed ≥ 6° had decreased brace adherence than non-progressive curves after 3 months (7.0 h vs. 8.1 h, p = 0.010) and at brace discharge (5.9 h vs. 7.1 h, p = 0.017). Multivariate logistic regression analysis showed that increased hours of brace wear [odds ratio (OR) 1.23, 95% confidence interval (CI) 1.06-1.46], single curves (OR 3.11, 95% CI 1.35-7.53), and curves < 25° (OR 2.61, 95% CI 1.12-6.44) were associated with non-progression at brace discharge.

conclusionsPatients treated with nighttime bracing have a high rate of brace adherence. Lack of curve progression is associated with increased brace wear. Nighttime bracing is effective at limiting curve progression in AIS single thoracolumbar/lumbar and double curves. LEVEL OF EVIDENCE: Prognostic Level 2.

Indexed as

BracesDisease ProgressionPatient ComplianceScoliosisAdolescentChildFemaleHumansMaleProspective StudiesTime FactorsTreatment OutcomeAISComplianceCurveProvidenceSpine deformityTLSO

Identifiers

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.