ArticleSpine surgery and related research2025
Skeletal Maturity, Brace Compliance, and In-Brace Correction Rate Are Important Factors Associated with Cobb Angle Progression after Brace Treatment in Patients with Adolescent Idiopathic Scoliosis.
Article in Spine surgery and related research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prediction models for curve progression in adolescent idiopathic scoliosis: a systematic review with exploratory meta-analysis of discrimination.BMC musculoskeletal disorders · 2026Pooled it
- Would initial thoracic correction be a key factor in orthotic intervention for adolescent idiopathic scoliosis with double-curve?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 · 2026Article
- Application of a Smart Orthosis in the Treatment of Idiopathic Scoliosis-A Pilot Case Study.Sensors (Basel, Switzerland) · 2026Article
- Gender-related differences in brace adherence among adolescents with idiopathic scoliosis.Spine deformity · 2026Article
- Objective Monitoring of Jewett Brace Compliance in Osteoporotic Vertebral Fractures: A Prospective Sensor-Based Study.Spine surgery and related research · 2026Article
- 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
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Authors and funding
14 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: This study investigated brace treatment for patients with adolescent idiopathic scoliosis (AIS) to comprehensively evaluate the factors associated with curve progression, including the effects of in-brace correction rate (ICR) and objective brace compliance. Additionally, it aimed to establish a clinically useful optimal ICR threshold for effective curve progression control. Methods: In this single-center retrospective analysis of prospectively collected data, 116 patients with AIS, with Cobb angles of 20°-40° and at least 1-year follow-up were included. Patients whose Cobb angles progressed by >5° were classified into the progressed group, whereas the others were categorized into the non-progressed group. Bracing time was objectively assessed using a thermometer. Results: In this study, 19 (16.4%) patients were assigned to the progressed group. Open triradiate cartilage was significantly more frequent in the progressed group (22.2% vs. 2.6%, p=0.011) whereas no significant differences were observed in demographics or pre-brace Cobb angles. The progressed group demonstrated a lower ICR (26.8% vs. 39.5%, p=0.002) and shorter bracing time at 6 months (14.0 hours vs. 17.4 hours, p=0.042). Multivariate logistic regression analysis revealed that Sanders grade (1-4), ICR, and bracing time were independently associated with Cobb angle progression (odds ratios: 7.01, 0.95, and 0.89, respectively; all p<0.05). Based on receiver operating characteristic curve analysis, the ICR threshold of 38.3% was identified to achieve a clinically significant negative predictive value of 95%. Conclusions: Under objective bracing time monitoring, skeletal maturity, ICR, and bracing time were crucial factors in preventing curve progression 1 year after brace initiation in patients with Cobb angles of 20°-40°. An ICR of 38.3% is recommended as the target when bracing adjustments are feasible.
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