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. 2012 Oct;21(10):1957-63.
doi: 10.1007/s00586-012-2386-9. Epub 2012 Jun 4.

Good brace compliance reduced curve progression and surgical rates in patients with idiopathic scoliosis

Jens Ivar Brox  1 , Johan Emil Lange, Ragnhild Beate Gunderson, Harald Steen
Affiliations

Good brace compliance reduced curve progression and surgical rates in patients with idiopathic scoliosis

Jens Ivar Brox et al. Eur Spine J. 2012 Oct.

Abstract

Purpose: To examine the association between brace compliance and outcome.

Patients and methods: 495 (457 females) patients with late onset juvenile and adolescent idiopathic scoliosis were examined prospectively before bracing and at least 2 years after brace weaning. One spine surgeon examined all patients. 381 (353 females) answered a standardised questionnaire and 355 had radiological examination after median 24 years. Compliance was defined as brace wear >20 h daily until weaning. Main outcomes were curve progression and surgery.

Results: At weaning, 76/389 compliers and 59/106 non-compliers had curve progression ≥6° (OR 5.2, 95 % CI 3.3-8.2). At long-term the numbers were 68/284 and 46/71 (OR 5.8, 95 % CI 3.3-10.2), 10/284 versus 17/71 had been operated (OR 8.6, 95 % CI 3.7-19.9).

Conclusion: We conclude that the risk for curve progression and surgery are reduced in patients with good brace compliance.

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Figures

Fig. 1
Fig. 1
The percentages of patients with high compliance (3.5 %), irregular use (26 %), and aborted bracing (22 %) with surgery, and the percentages (24, 62, and 69 %) with curve progression ≥6°, respectively, at long-term follow-up, are shown
Fig. 2
Fig. 2
Development of the major scoliotic curve is shown in 328 patients with long-term radiological evaluation. Operated patients (n = 27) are not included. Mean Cobb angle ± 1 SD prebrace, at brace weaning, at 1- and 2-year, and at long-term follow-up are shown in 274 compliant patients and 54 non-compliant patients
See this image and copyright information in PMC

References

    1. Adobor RD, Rimeslåtten S, Keller A, Brox JI. Repeatability, reliability, and concurrent validity of the scoliosis research society-22 questionnaire and EuroQol in patients with adolescent idiopathic scoliosis. Spine. 2010;35:206–209. doi: 10.1097/BRS.0b013e3181b43bdf. - DOI - PubMed
    1. Adobor RD, Rimeslåtten S, Steen H, Brox JI. School screening and point prevalence of adolescent idiopathic scoliosis in 4000 Norwegian children aged 12 years. Scoliosis. 2011;6:23. doi: 10.1186/1748-7161-6-23. - DOI - PMC - PubMed
    1. Danielsson A, Nachemson AL. Childbearing, curve progression, and sexual function in women 22 years after treatment for adolescent idiopathic scoliosis: a case-control study. Spine. 2001;26:1449–1456. doi: 10.1097/00007632-200107010-00015. - DOI - PubMed
    1. de Koning HJ (2007) Effectiveness of bracing patients with adolescent idiopathic scoliosis. Nederlands Trial Register http://www.trialregister.nl/trialreg/admin/rctview.asp
    1. Dolan LA, Weinstein SL. Surgical rates after observation and bracing for adolescent idiopathic scoliosis: an evidence-based review. Spine. 2007;32:S91–S100. doi: 10.1097/BRS.0b013e318134ead9. - DOI - PubMed

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