ArticleSpine deformity2026
Curve stabilization at 2 years despite declining brace adherence in adolescent idiopathic scoliosis: a single-center cohort with sociodemographic analysis.
Article in Spine deformity, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Comparative clinical performance of robotic-assisted systems in spinal deformity surgery: focus on perioperative outcomes and pedicle screw accuracy.Journal of robotic surgery · 2026Pooled it
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate whether socioeconomic factors may predict brace adherence and curve magnitude in adolescent idiopathic scoliosis (AIS).
methodsPatients with adolescent idiopathic scoliosis (AIS) who received a Boston Brace 3D (BB3D) thoracic-lumbar-sacral orthosis (TLSO) from January 2014 to October 2019 at a single center were reviewed. Brace adherence was objectively measured using temperature sensors embedded in orthotics. Brace wear was reported at 4 to 6 weeks (weaning period), 6 months, 12 months, 18 months, and 24 months since the first brace fitting. We abstracted demographic and socioeconomic variables including age, sex, race, ethnicity, median household income, insurance status, and pre-existing mental health conditions. Linear mixed-effect modeling was used to determine changes in adherence and curve magnitude at each visit.
resultsAmong 62 patients (84% female, 63% White, 11% publicly insured), average adherence peaked at 6 months (79%) and declined to 64% by 24 months. Our findings suggest that males, on average, had 16% lower adherence to bracing compared to females (p = 0.035). Age at the pre-brace visit was found to be a statistically significant predictor of curve change at the 24-month follow-up, with each 1-year age difference associated with a three-degree increase in curve magnitude (p = 0.006). Other sociodemographic variables were not significantly associated with adherence or curve change.
conclusionDespite declining adherence over time, curve magnitude remained stable in most patients, aligning with bracing success criteria. Gender may predict brace adherence, while age may predict curve progression. Analysis of sociodemographic factors in this limited cohort suggests potential disparities in non-operative management that warrant further investigation in more diverse populations. Such insights may inform targeted counseling strategies to optimize long-term outcomes.
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Registered trials
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