The Journal of Bone and Joint Surgery, Vol 68, Issue 5 738-742, Copyright © 1986 by Journal of Bone and Joint Surgery, Inc
Part-time bracing of adolescent idiopathic scoliosis
NE Green
Forty-four patients with fifty-five scoliotic curves were studied to
determine the efficacy of part-time bracing. All patients were skeletally
immature at the initiation of treatment with the brace. All but one of the
patients had a curve of at least 25 degrees that had shown 5 degrees of
documented progression. Each patient wore the brace for sixteen hours a
day, most patients preferring not to wear it during school hours. The
patients all completed the course of treatment. Because of the margin of
error in radiographic measurements, a change in the magnitude of the curve
of 5 degrees or more was considered significant. Twenty-five patients, with
twenty-seven curves, showed a change of less than 5 degrees from the
initiation of brace treatment to final follow-up. The other nineteen
patients (twenty-eight curves) showed a change of more than 5 degrees in at
least one of the curves, with four of them showing worsening and the other
fifteen showing improvement.