Scoliosis Bracing: Details Make the Difference

Abstract

Effective bracing for idiopathic scoliosis is influenced by factors such as age, skeletal maturity, and curve attributes, with success reliant on patient adherence and engagement. The purpose of this paper is to highlight strategies for successful treatment. Using standardized, effective communication detailing patient data, including radiographic measurements, supports clear communication between orthopaedic surgeon, orthotist, and patient. Consistent orthotist visits are important to ensure correct brace fit by evaluating aspects like tightness, comfort, and deformity correction. Monitoring growth metrics like height and weight can signal necessary adjustments. An initial in-brace x-ray facilitates early refinements with subsequent imaging based on growth stages. Adherence monitors augment treatment by tracking brace-wear patterns. Weaning protocols, aiming to reduce brace wear gradually while curbing curve progression, are influenced by factors such as curve size, brace comfort, and skeletal maturity markers. Overcoming barriers like physical discomfort and self-consciousness is pivotal for effective treatment. Emphasizing resilience, choice, and emotional support ensures enhanced patient commitment and satisfaction, leading to the best possible outcomes. Key Concepts•Increased time in brace leads to success in a dose-response fashion.•Effective, convenient methods of communication between the orthotist and orthopaedic surgeon are key to optimizing patient outcomes.•Adherence monitors can bolster patient engagement and autonomy and improve outcomes.•Patient support sources and psychologically informed techniques can diminish perceived barriers to brace wear.