Bracing for Idiopathic Scoliosis: How Many Patients Require Treatment to Prevent One Surgery?

Sanders, James O.; Newton, Peter O.; Browne, Richard; Katz, Donald E.; Birch, John G.; Herring, John A.

doi:10.2106/jbjs.m.00290

Cited by 64 publications

(61 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Brace overtreatment has been recently criticized [6667] and should be avoided, according to indication guidelines for AIS [15] determined by the Lonstein and Carlson progression factor [11]. Patient history should contain information about the onset of the deformity to permit appropriate prognostication and treatment plan [15].…”

Section: Discussionmentioning

confidence: 99%

Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature

Weiss¹,

Karavidas²,

Moramarco³

et al. 2016

Asian Spine J

View full text Add to dashboard Cite

Currently, adolescent idiopathic scoliosis (AIS) is principally regarded as benign, but some researchers have cited serious or extreme effects, including severe pain, cardiopulmonary compromise, social isolation, and even early death. Therefore, exploration of the long-term effects of AIS, the most common type of idiopathic scoliosis, is warranted. The purpose of this review was to examine the long-term studies on the natural history of AIS and/or reviews concerning the long-term effects of untreated AIS. A PubMed search was conducted using the key words idiopathic scoliosis, long-term effects and idiopathic scoliosis, natural history. For further analysis, references cited in those studies were reviewed for additional, related evidence not retrieved in the initial PubMed search. A review of the pertinent bibliography showed that older natural history studies did not distinguish between late-onset scoliosis (referred to in this paper as AIS) and early-onset scoliosis (EOS). The more recent studies offer such important distinction and reach to the general conclusion that untreated AIS does not lead to severe consequences with respect to signs and symptoms of scoliosis. It is possible that earlier studies may have included patient populations with EOS, leading to the perception of untreated scoliosis as having an unusually high morbidity rate. Studies on the long-term effects of AIS that specifically excluded EOS patients conclude that AIS is a benign disorder. This indicates that for research and reporting purposes, it is important to distinguishing between AIS and EOS. This will allow the practitioner and patient and their families to decide on an optimal treatment plan based on the most appropriate prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature

Weiss¹,

Karavidas²,

Moramarco³

et al. 2016

Asian Spine J

View full text Add to dashboard Cite

show abstract

“…There were no patients randomized to the nonbraced cohort who were changed into the bracing arm. Noncompliance with orthotic wear has been well documented as a reality in brace management of adolescents with spinal deformities, with noncompliance reported in the 38% range, leading to questions on the efficacy of this modality [3].…”

Section: Crossoversmentioning

confidence: 99%

Nonoperative care or noncare for thoracolumbar spine fractures? Questioning the unthinkable

Oskouian

2014

The Spine Journal

View full text Add to dashboard Cite

“…A global method to assess bracing is the concept of overall balance summation, but this is only valid in the frontal plane [44]. The implications for sagittal plane malalignment that continues into adulthood have been well documented and discussed in this chapter; therefore, they should also play a part in brace design [27].…”

mentioning

confidence: 99%

Sagittal Alignment in Spinal Deformity: Implications for the Non-Operative Care Practitioner

Bakarania¹,

Berdishevsky²,

Grimes³

et al. 2017

Innovations in Spinal Deformities and Postural Disorders

View full text Add to dashboard Cite

Sagittal alignment has become a hot topic in the world of orthopedics, particularly as it pertains to adults with spine deformities and coexisting pain, activity limitations, and health-related quality of life. It is reported that the prevalence of spinal deformity in the older adult will continue to increase. Clinicians across disciplines recognize the myriad of variation that exists in sagittal alignment, and that there is not one ideal norm to ascribe to. Relatively new to the spine deformity community has been the discovery of the relationship between the pelvis and the femur (pelvic incidence) in dictating lumbar lordosis and overall spinal alignment. While it is acknowledged that variation exists, there is now evidence that there is a limited range within which we can compensate for loss of sagittal alignment and still function well. When compensations run out, the quality of life becomes affected. These alignment variations, compensations, and in some cases, loss of alignment all together have clinical implications for the physiotherapist working with the older adult population. The purpose of this chapter is to describe the current state of evidence-informed knowledge around spinopelvic parameters as they relate to the adult with spine deformity and offer clinical implications for the conservative care practitioner.

show abstract

Bracing for Idiopathic Scoliosis: How Many Patients Require Treatment to Prevent One Surgery?

Cited by 64 publications

References 7 publications

Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature

Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature

Nonoperative care or noncare for thoracolumbar spine fractures? Questioning the unthinkable

Sagittal Alignment in Spinal Deformity: Implications for the Non-Operative Care Practitioner

Contact Info

Product

Resources

About