Adolescent idiopathic scoliosis: the effect of brace treatment on the incidence of surgery - PubMed (original) (raw)
Comparative Study
Adolescent idiopathic scoliosis: the effect of brace treatment on the incidence of surgery
C J Goldberg et al. Spine (Phila Pa 1976). 2001.
Abstract
Study design: Retrospective analysis of outcome in terms of incidence of surgery for adolescent idiopathic scoliosis during a period when bracing was not practiced.
Objectives: To determine whether centers with an active bracing policy have lower numbers undergoing surgery for adolescent idiopathic scoliosis than a center where nonintervention is the practice.
Background data: Two major recent publications have claimed that bracing significantly improves the outcome in adolescent idiopathic scoliosis. However, one had no control subjects and the other did not examine the final status of the subjects under review. While statistically significant differences in progression have been observed, what will convince patients to submit to an onerous treatment is the conviction that it will make a substantial difference, such as the avoidance of surgery.
Methods: Since 1991, bracing has not been recommended for children with adolescent idiopathic scoliosis at this center. The scoliosis database was searched for patients with adolescent idiopathic scoliosis who were at least 15 years of age at last review and who had adequate documentation of curve parameters. The incidence of surgery was compared with that of published data from other centers.
Results: A total of 153 children, 11 boys and 142 girls, fitted the criteria. Forty-three of these (28.1%) have undergone surgery. This was not statistically different from the surgery rate reported from an active bracing center.
Conclusions: If bracing does not reduce the proportion of children with adolescent idiopathic scoliosis who require surgery for cosmetic improvement of their deformity, it cannot be said to provide a meaningful advantage to the patient or the community. Recent studies notwithstanding, the question of the efficacy of orthoses in idiopathic scoliosis remains unresolved.
Comment in
- Adolescent idiopathic scoliosis: the effect of brace treatment on the incidence of surgery.
Weiss HR. Weiss HR. Spine (Phila Pa 1976). 2001 Sep 15;26(18):2058-9. doi: 10.1097/00007632-200109150-00024. Spine (Phila Pa 1976). 2001. PMID: 11547208 No abstract available.
Similar articles
- Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis.
Rigo M, Reiter Ch, Weiss HR. Rigo M, et al. Pediatr Rehabil. 2003 Jul-Dec;6(3-4):209-14. doi: 10.1080/13638490310001642054. Pediatr Rehabil. 2003. PMID: 14713587 - Effect of Compliance Counseling on Brace Use and Success in Patients with Adolescent Idiopathic Scoliosis.
Karol LA, Virostek D, Felton K, Wheeler L. Karol LA, et al. J Bone Joint Surg Am. 2016 Jan 6;98(1):9-14. doi: 10.2106/JBJS.O.00359. J Bone Joint Surg Am. 2016. PMID: 26738898 - Brace Success Is Related to Curve Type in Patients with Adolescent Idiopathic Scoliosis.
Thompson RM, Hubbard EW, Jo CH, Virostek D, Karol LA. Thompson RM, et al. J Bone Joint Surg Am. 2017 Jun 7;99(11):923-928. doi: 10.2106/JBJS.16.01050. J Bone Joint Surg Am. 2017. PMID: 28590377 Clinical Trial. - Use of the Rosenberger brace in the treatment of progressive adolescent idiopathic scoliosis.
Spoonamore MJ, Dolan LA, Weinstein SL. Spoonamore MJ, et al. Spine (Phila Pa 1976). 2004 Jul 1;29(13):1458-64. doi: 10.1097/01.brs.0000128756.89367.9e. Spine (Phila Pa 1976). 2004. PMID: 15223939 Review. - Surgical rates after observation and bracing for adolescent idiopathic scoliosis: an evidence-based review.
Dolan LA, Weinstein SL. Dolan LA, et al. Spine (Phila Pa 1976). 2007 Sep 1;32(19 Suppl):S91-S100. doi: 10.1097/BRS.0b013e318134ead9. Spine (Phila Pa 1976). 2007. PMID: 17728687 Review.
Cited by
- Effects of bracing in adolescents with idiopathic scoliosis.
Weinstein SL, Dolan LA, Wright JG, Dobbs MB. Weinstein SL, et al. N Engl J Med. 2013 Oct 17;369(16):1512-21. doi: 10.1056/NEJMoa1307337. Epub 2013 Sep 19. N Engl J Med. 2013. PMID: 24047455 Free PMC article. Clinical Trial. - Brace management in adolescent idiopathic scoliosis.
Schiller JR, Thakur NA, Eberson CP. Schiller JR, et al. Clin Orthop Relat Res. 2010 Mar;468(3):670-8. doi: 10.1007/s11999-009-0884-9. Epub 2009 May 30. Clin Orthop Relat Res. 2010. PMID: 19484317 Free PMC article. Review. - Comparison of in-and outpatients protocols for providence night time only bracing in AIS patients - compliance and satisfaction.
Al-Aubaidi ZT, Tropp H, Pedersen NW, Jespersen SM. Al-Aubaidi ZT, et al. Scoliosis. 2013 Apr 12;8:6. doi: 10.1186/1748-7161-8-6. eCollection 2013. Scoliosis. 2013. PMID: 23587285 Free PMC article. - Understanding the role of the immune system in adolescent idiopathic scoliosis: Immunometabolic CONnections to Scoliosis (ICONS) study protocol.
Samaan MC, Missiuna P, Peterson D, Thabane L. Samaan MC, et al. BMJ Open. 2016 Jul 8;6(7):e011812. doi: 10.1136/bmjopen-2016-011812. BMJ Open. 2016. PMID: 27401365 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical