A Meta-Analysis of the Efficacy of Non-Operative Treatments for Idiopathic Scoliosis* **

Rowe, Dale E.; Bernstein, Saul M.; Riddick, Max F.; Adler, Federico; Emans, John B.; Gardner-Bonneau, Daryle

doi:10.2106/00004623-199705000-00005

Cited by 363 publications

(227 citation statements)

References 39 publications

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“…Bracing is a commonly used non-operative treatment for AIS [15][16][17][18][19][20]. However, many orthopedists, including the authors, are not sure whether bracing works in many cases Fig.…”

Section: Discussionmentioning

confidence: 99%

“…The number of hours reported by patients in these previous studies has been subjective and is probably not accurate. Some authors did not exclude the non-compliant patients from their studies because of the difficulty in distinguishing between compliant and non-compliant patients [18][19][20]. Bassett et al found that the key prognostic factors for success of the Wilmington brace for AIS treatment appeared to be the severity and flexibility of the curve at the start of treatment [15].…”

Section: Discussionmentioning

confidence: 99%

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Electronic monitoring of scoliosis brace wear compliance

Rahman

Borkhuu

Littleton³

et al. 2010

Journal of Children's Orthopaedics

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Purpose Accurate evaluation of patient compliance with scoliosis brace usage has been a challenge for physicians treating patients with adolescent idiopathic scoliosis. This inability to accurately measure compliance has resulted in difficulty in determining brace treatment efficacy. This prospective study was performed to demonstrate the efficacy of using a new electronic brace compliance monitor, the Cricket. Methods The Cricket is a small encased circuit that can be attached to the brace and, by means of a temperature sensor, can record brace wear times. This study included ten subjects with adolescent idiopathic scoliosis who were prescribed the Wilmington scoliosis brace (thoraco-lumbosacral orthosis) into which the Cricket sensor was incorporated. Subjects kept a diary of brace wear times. Results Comparisons of data for the Cricket, subject diaries, and prescribed brace wear were evaluated. The mean error between the diary times and Cricket recording was 2%. Patient compliance was 78%. Conclusions The Cricket is a reliable, accurate, and sensitive device to determine patient compliance with scoliosis brace usage.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Electronic monitoring of scoliosis brace wear compliance

Rahman

Borkhuu

Littleton³

et al. 2010

Journal of Children's Orthopaedics

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“…Metaanalysis is a statistical analysis of data from several different studies of the same phenomenon, pooled to gain a broader perspective than can be achieved from each of the individual studies [16,19,25,33]. Ideally, each of the studies upon which the meta-analysis is based would include large numbers of cases and have a similar design.…”

Section: Discussionmentioning

confidence: 99%

A meta-analysis of autograft versus allograft in anterior cervical fusion

Floyd

2000

European Spine Journal

140

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“…Although a complete discussion of these modalities is beyond the scope of this article, convincing evidence of their effectiveness does not exist. Although Goldberg reported similar surgery rates for unbraced patients compared with braced patients [14,15], other studies demonstrate bracing is an effective nonoperative treatment modality preventing curve progression compared with no bracing or treatment with electrical stimulation [32,44].…”

Section: Introductionmentioning

confidence: 99%

Brace Management in Adolescent Idiopathic Scoliosis

Schiller

Thakur

Eberson

2010

Clinical Orthopaedics &Amp; Related Research

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Skeletally immature patients with adolescent idiopathic scoliosis are at risk for curve progression. Although numerous nonoperative methods have been attempted, including physical therapy, exercise, massage, manipulation, and electrical stimulation, only bracing is effective in preventing curve progression and the subsequent need for surgery. Brace treatment is initiated as either full-time (TLSO, Boston) or nighttime (Charleston, Providence) wear, although patient compliance with either mode of bracing has been a documented problem. We review the natural history of adolescent idiopathic scoliosis, identify the risks for curve progression, describe the types of braces available for treatment, and review the indications for and efficacy of brace treatment.

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A Meta-Analysis of the Efficacy of Non-Operative Treatments for Idiopathic Scoliosis* **

Cited by 363 publications

References 39 publications

Electronic monitoring of scoliosis brace wear compliance

Electronic monitoring of scoliosis brace wear compliance

A meta-analysis of autograft versus allograft in anterior cervical fusion

Brace Management in Adolescent Idiopathic Scoliosis

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