Journal ArticleDOI
Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management.
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TLDR
Optimal inclusion criteria for future adolescent idiopathic scoliosis brace studies consist of: age is 10 years or older when brace is prescribed, Risser 0−2, primary curve angles 25°−40°, no prior treatment, and, if female, either premenarchal or less than 1 year post menarchal.Abstract:
Study Design. Literature review. Objective. To establish consistent parameters for future adolescent idiopathic scoliosis bracing studies so that valid and reliable comparisons can be made. of Background Data. Current bracing literature lacks consistency for both inclusion criteria and the definitions of brace effectiveness. Methods. A total of 32 brace treatment studies and the current bracing in adolescent idiopathic scoliosis proposal were analyzed to: (1) determine inclusion criteria that will best identify those patients most at risk for progression, (2) determine the most appropriate definitions for bracing effectiveness, and (3) identify additional variables that would provide valuable information. Results. Early brace studies lacked clarity in their inclusion criteria. In more recent studies, inclusion criteria have narrowed considerably to include primarily those patients most at risk for curve progression who may benefit from the use of a brace. Brace effectiveness was usually defined by various degrees of curve progression at maturity. Less frequently, it was defined by the resultant curve magnitude at maturity, whether or not surgical intervention was needed, or if there was change to another brace. Conclusions. Optimal inclusion criteria for future adolescent idiopathic scoliosis brace studies consist of: age is 10 years or older when brace is prescribed, Risser 0-2, primary curve angles 25°-40°, no prior treatment, and, if female, either premenarchal or less than 1 year postmenarchal. Assessment of brace effectiveness should include: (1) the percentage of patients who have ≤5° curve progression and the percentage of patients who have a6° progression at maturity, (2) the percentage of patients with curves exceeding 45° at maturity and the percentage who have had surgery recommended/undertaken, and (3) 2-year follow-up beyond maturity to determine the percentage of patients who subsequently undergo surgery. All patients, regardless of subjective reports on compliance, should be included in the results (intent to treat). Every study should provide results stratified by curve type and size grouping.read more
Citations
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Journal ArticleDOI
Effects of bracing in adolescents with idiopathic scoliosis
TL;DR: Bracing significantly decreased the progression of high-risk curves to the threshold for surgery in patients with adolescent idiopathic scoliosis and the benefit increased with longer hours of brace wear.
Journal ArticleDOI
2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth.
Stefano Negrini,Sabrina Donzelli,Angelo Gabriele Aulisa,Dariusz Czaprowski,Sanja Schreiber,Sanja Schreiber,Jean Claude de Mauroy,Helmut Diers,Theodoros B Grivas,Patrick Knott,Tomasz Kotwicki,Andrea Lebel,Cindy Marti,Toru Maruyama,Joseph P O'Brien,Nigel Price,Eric C. Parent,Manuel Rigo,Michele Romano,Luke Stikeleather,James H Wynne,Fabio Zaina +21 more
TL;DR: The 2016 SOSORT guidelines were developed based on the current evidence on CTIS and include a total of 68 recommendations divided into following topics: bracing, PSSE to prevent scoliosis progression during growth, other conservative treatments, respiratory function and exercises and assessment.
Journal ArticleDOI
Adolescent idiopathic scoliosis.
Jack C. Y. Cheng,René M. Castelein,Winnie C.W. Chu,Aina J. Danielsson,Aina J. Danielsson,Matthew B. Dobbs,Theodoros B Grivas,Christina A. Gurnett,Keith D. K. Luk,Alain Moreau,Peter O. Newton,Peter O. Newton,Ian A. F. Stokes,Stuart L. Weinstein,R Geoffrey Burwell +14 more
TL;DR: Both the prevention of AIS and the treatment of its direct underlying cause are not possible, because the definite aetiology and aetiopathogenetic mechanisms that underlie AIS are still unclear.
Journal ArticleDOI
2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth
Stefano Negrini,Angelo Gabriele Aulisa,Lorenzo Aulisa,Alin B Circo,Jean Claude de Mauroy,Jacek Durmała,Theodoros B Grivas,Patrick Knott,Tomasz Kotwicki,Toru Maruyama,Silvia Minozzi,Joseph P O'Brien,Dimitris Papadopoulos,Manuel Rigo,Charles H. Rivard,Michele Romano,James H Wynne,Monica Villagrasa,Hans-Rudolf Weiss,Fabio Zaina +19 more
TL;DR: These Guidelines have been a big effort of SOSORT to paint the actual situation of CTIS, starting from the evidence, and filling all the gray areas using a scientific method, and it is possible to understand the lack of research in general on CTIS.
Journal ArticleDOI
Braces for idiopathic scoliosis in adolescents
Stefano Negrini,Silvia Minozzi,Josette Bettany-Saltikov,Nachiappan Chockalingam,Theodoros B Grivas,Tomasz Kotwicki,Toru Maruyama,Michele Romano,Fabio Zaina +8 more
TL;DR: In this paper, the authors evaluated the efficacy of bracing for adolescents with idiopathic scoliosis versus no treatment or other treatments, on quality of life, disability, pulmonary disorders, progression of the curve, and psychological and cosmetic issues.
References
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Journal ArticleDOI
The prediction of curve progression in untreated idiopathic scoliosis during growth.
John E. Lonstein,J M Carlson +1 more
TL;DR: The incidence of curve progression was found to be related to the pattern and magnitude of the curve, the patient's age at presentation, the Risser sign, and the patients' menarchal status.
Journal ArticleDOI
Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society.
Alf Nachemson,Lars-Erik Peterson +1 more
TL;DR: In a prospective study by the Scoliosis Research Society, 286 girls who had adolescent idiopathic scoliosis, a thoracic or thoracolumbar curve of 25 to 35 degrees, and a mean age of twelve years and seven months were followed to determine the effect of treatment with observation only, an underarm plastic brace, and nighttime surface electrical stimulation.
Journal ArticleDOI
Measurement of the Cobb angle on radiographs of patients who have scoliosis. Evaluation of intrinsic error.
TL;DR: To quantitate the intrinsic error in measurement, fifty anteroposterior radiographs of patients who had scoliosis were each measured on six separate occasions by four orthopaedic surgeons using the Cobb method.
Journal ArticleDOI
Measurement of scoliosis and kyphosis radiographs. Intraobserver and interobserver variation.
TL;DR: Reliability was not significantly improved when the end-vertebrae of the curve had been pre-selected, and if one were to be 95 per cent confident that a measured difference represented a true change, the difference would have to be 10 degrees for scoliosis radiographs and 11 degrees for kyphosis radiographs.
Journal ArticleDOI
A meta-analysis of the efficacy of non-operative treatments for idiopathic scoliosis.
Dale E. Rowe,Saul M. Bernstein,Max F. Riddick,Federico Adler,John B. Emans,Daryle Gardner-Bonneau +5 more
TL;DR: It was found that use of the Milwaukee brace or another thoracolumbosacral orthosis for twenty-three hours per day effectively halted progression of the curve.
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