Evidence map›Paper›PMID 40533578›Full record

ReviewEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025

Surgical vs non-surgical management of adolescent idiopathic scoliosis: a 10-year narrative review of health-related quality of life and radiographic progression in 3315 patients.

Shuhao Zhang, Liancheng Wang, Yue He, Zeya Li, Guanchao Zuo, Shuai Wang, Jiangpeng Jia, Yongxia Wang

Abstract readReview
PubMed Publisher
In one paragraph

Review 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Immediate in-brace correction and 1-year radiographic stability after a hybrid textile brace for adolescent idiopathic scoliosis: a retrospective cohort study.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
    Article
  2. Observational
  3. 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

8 authors.

Shuhao ZhangSichuan Provincial Ba-Yi Rehablitation Center (Sichuan Provincial Rehablitation Hospital), Chengdu, Sichuan, China.
Liancheng WangTianjin Hospital, Tianjin, China.
Yue HeSichuan Provincial Ba-Yi Rehablitation Center (Sichuan Provincial Rehablitation Hospital), Chengdu, Sichuan, China. heyue@cdutcm.edu.cn.ORCID 0000-0002-0034-073X
Zeya LiTianjin Children's Hospital, Tianjin, China.
Guanchao ZuoSichuan Provincial Ba-Yi Rehablitation Center (Sichuan Provincial Rehablitation Hospital), Chengdu, Sichuan, China.
Shuai WangFirst Hospital of Shanxi Medical University, Taiyuan, Shanxi, China.
Jiangpeng JiaSichuan Provincial Ba-Yi Rehablitation Center (Sichuan Provincial Rehablitation Hospital), Chengdu, Sichuan, China.
Yongxia WangSichuan Provincial Ba-Yi Rehablitation Center (Sichuan Provincial Rehablitation Hospital), Chengdu, Sichuan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo systematically collect, assess, and integrate relevant studies with a follow-up period of at least 10 years to explore the long-term prognosis and influencing factors in patients with adolescent idiopathic scoliosis (AIS).

methodsA literature search was conducted in PubMed, Embase, The Cochrane Library, Web of Science, Scopus, CNKI, and the Chinese Biomedical Literature Database regarding the long-term prognosis of AIS related to surgical and non-surgical treatments. The search period extended from the inception of each database to July 2024. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of the included studies, and relevant data were extracted.

resultsA total of 45 articles were included, covering 3, 315 AIS patients across 15 countries, with the highest number of publications originating from Japan. Most articles were published between 2015 and 2023. Specifically, 30 papers reported on the long-term prognosis of AIS patients who underwent surgical treatment, while 11 articles focused on the long-term prognosis of non-surgical treatments; an additional 4 studies compared the long-term effects of surgical versus non-surgical treatments. Treatment strategies for AIS patients included observation, bracing, exercise therapy, and surgery, with outcome measures primarily focusing on health-related quality of life (HRQoL) and disease progression.

conclusionThe contemporary therapeutic strategies involving the selection between surgical and non-surgical treatments yields comparable HRQoL and long-term functional outcomes at a follow-up duration exceeding 10 years in both patient cohorts.Surgical treatment has a positive effect on improving long-term prognosis, although some corrective loss is observed, resulting in overall stable outcomes. Non-surgical treatment has limitations in long-term correction effects; however, the HRQoL of patients remains largely unaffected.

Indexed as

Conservative TreatmentQuality of LifeScoliosisAdolescentBracesDisease ProgressionExercise TherapyHumansDisease progressionHealth-related quality of lifeIdiopathic scoliosisLong-term follow-up

Identifiers

PMID40533578

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.