ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2026
Geographic, personal and clinical determinants of brace-wearing time in adolescents with idiopathic scoliosis.
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, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- Brace Dose in Scoliosis: Measurement, Monitoring, and Clinical Decision-Making-A Narrative Review.Orthopedic research and reviews · 2026Review
- Adherence and Radiological Outcomes in Braced Adolescents with Idiopathic Scoliosis: A Real-World Study Using Thermal Sensors.Journal of clinical medicine · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdherence to brace treatment is crucial for its effectiveness in AIS. The study aimed to verify the impact of geographic, personal and clinical variables on adherence to brace wear.
methodsDesign: retrospective cross-sectional study of consecutively collected participants at a tertiary referral institute. INCLUSION CRITERIA: AIS, one-year of follow-up after bracing, and use of a thermal sensor. The outcome was adherence and tested predictors were age, gender, ATR, TRACE, Cobb, curve type, Risser, and back pain at baseline, brace type and prescription time, income, living in the North, Centre, or South of Italy, city of residence size, distance from the sea, and height above sea level. The chi 2 test was used to investigate the association between the categories and adherence. The logistic regression model tested the predictors. STATA 17.0 MP was used.
resultsWe included 1904 adolescents, age 13.8 ± 1.6 (1597 females), worse scoliosis curve 35 ± 11° Cobb. The prevalence of good compliers, with more than 75% of the prescribed dosage, was 90.8%. Factors associated with higher adherence were living in the North of Italy (p = 0.003), prescription > 20 h per day (p = 0.008), female gender (p = 0.008), younger age and lower Risser sign (age 10 to 13: p = 0.000; Risser 0-1: p = 0.013). The regression model explained 4% of the variability.
conclusionLiving in the North of Italy, longer hours of brace prescription, female gender, younger age, and lower Risser sign increased adherence to brace wear. Nevertheless, there are other unknown factors that contribute to the explanation of adherence in this highly compliant population.
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