Brace treatment is effective in idiopathic scoliosis over 45°: an observational prospective cohort controlled study

Lusini, Monia; Donzelli, Sabrina; Minnella, Salvatore; Zaina, Fabio; Négrini, Stefano

doi:10.1016/j.spinee.2013.11.040

Cited by 40 publications

(56 citation statements)

References 37 publications

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“…We wrote to the principal investigators but they did not respond. Both Coillard 2012 [59] and Lusini 2013 [60] agreed to send the final versions of articles that were under review for publication. Lusini 2013 [60] has since been published.…”

Section: Results Of the Searchmentioning

confidence: 99%

“…Both Coillard 2012 [59] and Lusini 2013 [60] agreed to send the final versions of articles that were under review for publication. Lusini 2013 [60] has since been published. This resulted in seven included studies, two of which were reported in the original version of this review.…”

Section: Results Of the Searchmentioning

confidence: 99%

“…Seven articles met our inclusion criteria: five were planned as RCTs [59,[63][64][65][66], and two as prospective controlled trials [60,67]. Two RCTs failed due to very low recruitment of participants [65,68].…”

Section: Included Studiesmentioning

confidence: 99%

“…Braces included elastic bands [59,66], rigid (polyethylene) [64][65][66][67]69], and very rigid (polycarbonate) thoraco-lumbo-sacral orthosis [60]. Two studies compared bracing with observation [59,65,69], one study compared bracing plus physiotherapeutic-specific scoliosis exercises versus observation [60]. One study compared rigid bracing with observation or electrical stimulation [67].…”

Section: Types Of Treatments and Comparisonsmentioning

confidence: 99%

See 3 more Smart Citations

Braces for Idiopathic Scoliosis in Adolescents

Négrini

Bettany‐Saltikov

Chockalingam

et al. 2016

Spine

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Section: Results Of the Searchmentioning

confidence: 99%

Section: Results Of the Searchmentioning

confidence: 99%

Section: Included Studiesmentioning

confidence: 99%

Section: Types Of Treatments and Comparisonsmentioning

confidence: 99%

See 2 more Smart Citations

Braces for Idiopathic Scoliosis in Adolescents

Négrini

Bettany‐Saltikov

Chockalingam

et al. 2016

Spine

Self Cite

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“…Juvenile scoliosis starts at the age of 3-9 years and can lead to larger curvatures than adolescent scoliosis which starts between 10 and 17 years of age [1]. Lusini et al [8] further found that wearing a brace can reduce the curvature even in patients with curve magnitudes over 45°Cobb, who had refused to have surgery.…”

Section: Introductionmentioning

confidence: 99%

Living with a Severe Spinal Deformity: An Innovative and Personal Patient Account of Self-Management Using a Corset, Postural Correction, and Exercises

Gogala¹

2021

Spinal Deformities in Adolescents, Adults and Older Adults

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Conservative treatment of scoliosis using brace and exercises usually ends when growth stops. Scoliosis may, however, deteriorate in adulthood especially when curves are larger. The author decided to try to help himself when he was 43 years old. He had been diagnosed with juvenile idiopathic scoliosis when he was 7 years old, but his treatment with a Milwaukee brace ended when he was 11 years old. When his growth ended, the author had a severe scoliosis with a thoracic curve of around 100°Cobb. In adulthood, a corset from fabric with steel reinforcements was used for part of the day intermittently which also included days without wear. To derotate the rib cage, pressure to the rib hump was applied from behind. After some years it was obvious from photo documentation that some derotation had been achieved. The rib hump is smaller; ribs can now be seen on the concave side where they were not seen previously, and a skin mark which was located laterally before moved to the front side. Curves to the side as seen in anteroposterior X-ray images, however, did not improve. But the therapy proved helpful as marked cosmetic improvement was achieved and curve increase was most likely prevented.

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Braces for idiopathic scoliosis in adolescents

Négrini

Minozzi²,

Bettany‐Saltikov

et al. 2015

Cochrane Database of Systematic Reviews

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105

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Due to the important clinical differences among the studies, it was not possible to perform a meta-analysis. Two studies showed that bracing did not change QoL during treatment (low quality), and QoL, back pain, and psychological and cosmetic issues in the long term (16 years) (very low quality). All included papers consistently showed that bracing prevented curve progression (secondary outcome). However, due to the strength of evidence (from low to very low quality), further research is very likely to have an impact on our confidence in the estimate of effect. The high rate of failure of RCTs demonstrates the huge difficulties in performing RCTs in a field where parents reject randomization of their children. This challenge may prevent us from seeing increases in the quality of the evidence over time. Other designs need to be implemented and included in future reviews, including 'expertise-based' trials, prospective controlled cohort studies, prospective studies conducted according to pre-defined criteria such as the Scoliosis Research Society (SRS) and the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT) criteria. Future studies should increase their focus on participant outcomes, adverse effects, methods to increase compliance, and usefulness of physiotherapeutic scoliosis specific exercises added to bracing.

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Brace treatment is effective in idiopathic scoliosis over 45°: an observational prospective cohort controlled study

Cited by 40 publications

References 37 publications

Braces for Idiopathic Scoliosis in Adolescents

Braces for Idiopathic Scoliosis in Adolescents

Living with a Severe Spinal Deformity: An Innovative and Personal Patient Account of Self-Management Using a Corset, Postural Correction, and Exercises

Braces for idiopathic scoliosis in adolescents

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