SRS-22r Scores in Nonoperated Adolescent Idiopathic Scoliosis Patients With Curves Greater Than Forty Degrees

Ward, W. Timothy; Friel, Nicole A.; Kenkre, Tanya S.; Brooks, Maria M.; Londino, Joanne A.; Roach, James W.

doi:10.1097/brs.0000000000002004

Cited by 38 publications

(40 citation statements)

References 85 publications

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“…Interestingly, the results from a prospective cohort with curves of 40° and more was also significantly better than the results as achieved within the BRAIST trial 31) . Considering that there is little advantage of surgery over conservative treatment 17) and in view of the lack of evidence for spinal fusion surgery [12][13][14][15][16][17] , the GBW offers a real advantage for those patients with curves beyond the historical surgical threshold 31) , who wish to avoid surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Treatments of AIS and other forms of scoliosis in the main consists of; exercise; brace treatment and spinal fusion surgery. While there is high quality evidence supporting exercises [8][9][10] and brace treatment 11) during growth, no high-quality evidence exists to support spinal fusion surgery [12][13][14][15][16][17] . Because evidence for spinal fusion is still lacking, Ward et al suggest including those patients with curves exceeding 40° conservatively, a threshold which historically was seen as being an indication for surgery 17) .…”

Section: Introductionmentioning

confidence: 99%

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First end-result of a prospective cohort with AIS treated with a CAD Chêneau style brace

Weiss¹,

Turnbull

Seibel³

et al. 2019

J Phys Ther Sci

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Specific exercises and brace treatment are the two evidence-based modes of treatment for patients with scoliosis. The purpose of this paper is to present the first end-results from a prospective cohort that commenced treatment in 2011 with a CAD based Chêneau derivate and is then compared to the published results achieved with the Boston Brace. [Participants and Methods] Inclusion criteria for the study, refers to the SRS inclusion criteria on bracing, except the range of Cobb angles which was extended to curvatures of up to 45°. Twentyeight patients were weaned from their CAD Chêneau style brace. The results of this cohort have been compared with the BRAIST study by Weinstein et al. with the help of the Z-test. [Results] A success rate of 92.9% has been achieved. This was compared to the success rate of 72% in the BRAIST study. The differences were highly significant in the Z-test. [Conclusion] The results achieved with the GBW are significantly and better than the results achieved with the Boston brace. Therefore, the standards for bracing should be reviewed with the results that symmetric compression with Boston bracing is not as successful, when compared to asymmetric high correction bracing results, which allow a standardized classification-based corrective approach.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

First end-result of a prospective cohort with AIS treated with a CAD Chêneau style brace

Weiss¹,

Turnbull

Seibel³

et al. 2019

J Phys Ther Sci

View full text Add to dashboard Cite

show abstract

“…Importantly, these differences in function and pain domains reached MCID for clinical signi cance as reported by Carreon et al (21) The relationship observed between the SRS-22r domain scores and the coronal Cobb angle is compatible with other studies. (20,33) Older patients seem to have a better self-con dence regarding their appearance, despite greater perceived pain. This may be a result of acceptance of the deformity and development of more chronic muscle imbalance and associated back pain.…”

Section: Discussionmentioning

confidence: 98%

Patterns of Coronal and Sagittal Deformities in Adolescent Idiopathic Scoliosis

Mak

Cheung

Zhang

2020

Preprint

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Background: Thoracic scoliosis has been shown to be associated with hypokyphosis in adolescent idiopathic scoliosis (AIS). However, the relationship of sagittal spino-pelvic parameters with different coronal curve patterns and their influence on patient-perceived quality of life is unknown. This study aims to determine the association between coronal and sagittal malalignment in patients with AIS and to determine their effects on SRS-22r scores. Methods: A cross-sectional study was conducted on 1054 consecutive patients with AIS. The coronal Cobb angle, thoracic kyphosis (TK), lumbar lordosis (LL), pelvic incidence (PI), PI-LL mismatch (PI-LL), pelvic tilt (PT), and sacral slope (SS) were measured on standing radiographs. The coronal Cobb angle (mild: 10-20°; moderate: >20-40°; severe: >40°) and PI (low: <35°; average: 35-50°; high: >50°) were divided into 3 sub-groups for comparison. Relationship between coronal curve magnitudes and sagittal parameters was studied as was their association with SRS-22r scores. Results: Low PI had smaller SS (30.1±8.3° vs 44.8±7.7°; p<0.001), PT (-0.3±8.1° vs 14.4±7.5°; p<0.001), and LL (42.0±13.2° vs 55.1±10.6°; p<0.001), negative PI-LL mismatch (-12.1±13.1° vs 4.1±10.5°; p<0.001) as compared to large PI. There were no significant relationships with PI and TK (p=0.905) or curve magnitude (p=0.431). No differences in sagittal parameters were observed for mild, moderate or severe coronal Cobb angles. SRS-22r scores only correlated with coronal Cobb angle and larger Cobb angles were negatively correlated with the function, appearance and pain domains. Conclusions: The sagittal profile for AIS is associated with the pelvic parameters especially PI but not with the coronal curve pattern. All patients have a similar TK regardless of coronal curve type. However, it appears that the coronal deformity is a greater influence on quality of life outcomes especially those >40°.

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“…In addition, significant clinical and radiological improvements have been documented [47,75,79,82]. Considering that in patients with AIS, there is no long-term evidence supporting spinal fusion surgery [10][11][12][13][14], and in view of its significant long-term complications [15][16][17][18], brace treatment for curves exceeding 40° should be of importance. According to literature, asymmetrical high-quality braces offer success rates of about Brace Treatment for Children and Adolescents with Scoliosis DOI: http://dx.doi.org /10.5772/intechopen.91234 90% in this group of patients and can be regarded as the safest bracing approach for curves exceeding 40° when worn full-time at the start of treatment (Figure 11).…”

Section: Bracing In Curves Of 40° and Overmentioning

confidence: 99%

“…When considering surgery versus conservative treatment, high-quality evidence exists for the application of pattern specific exercises (PSE for example, Schroth) [5,6] and spinal bracing [7][8][9]. No long-term evidence exists to support spinal fusion surgery [10][11][12][13][14]. Further comparisons are not possible when there is a lack of publicised surgical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Brace Treatment for Children and Adolescents with Scoliosis

Weiss¹,

Turnbull²

2021

Spinal Deformities in Adolescents, Adults and Older Adults

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The aim of brace treatment in patients with scoliosis during growth is (1) to stop curve progression and (2) to improve appearance/cosmesis. There is high quality evidence available supporting brace treatment. According to recent publications, the outcomes of different braces vary to a high extent. Although most of the scoliosis cases will not affect the patient's health, the impact of braces on the cosmetic outcome to date is not well determined. Standardised asymmetric braces (mainly Chêneau derivatives) have better outcomes than symmetric compression braces and may also lead to significant improvements of the deformity. For symmetric braces, no evidence exists that these could significantly change the deformity. Soft braces have no indication and the use of night-time braces should be largely restricted due to poor outcomes when compared to current standards of full-time bracing.

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SRS-22r Scores in Nonoperated Adolescent Idiopathic Scoliosis Patients With Curves Greater Than Forty Degrees

Abstract: 3.

Cited by 38 publications

References 85 publications

First end-result of a prospective cohort with AIS treated with a CAD Chêneau style brace

First end-result of a prospective cohort with AIS treated with a CAD Chêneau style brace

Patterns of Coronal and Sagittal Deformities in Adolescent Idiopathic Scoliosis

Brace Treatment for Children and Adolescents with Scoliosis

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