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The Journal of Bone and Joint Surgery, Vol 77, Issue 6 815-822, Copyright © 1995 by Journal of Bone and Joint Surgery, Inc
Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society
AL Nachemson and LE Peterson
Department of Orthopaedics, Goteborg University, Sweden.
In a prospective study by the Scoliosis Research Society, 286 girls who had
adolescent idiopathic scoliosis, a thoracic or thoracolumbar curve of 25 to
35 degrees, and a mean age of twelve years and seven months (range, ten to
fifteen years) were followed to determine the effect of treatment with
observation only (129 patients), an underarm plastic brace (111 patients),
and nighttime surface electrical stimulation (forty-six patients).
Thirty-nine patients were lost to follow-up, leaving 247 (86 per cent) who
were followed until maturity or who were dropped from the study because of
failure of the assigned treatment. The end point of failure of treatment
was defined as an increase in the curve of at least 6 degrees, from the
time of the first roentgenogram, on two consecutive roentgenograms. As
determined with use of this end point, treatment with a brace failed in
seventeen of the 111 patients; observation only, in fifty-eight of the 129
patients; and electrical stimulation, in twenty-two of the forty-six
patients. According to survivorship analysis, treatment with a brace was
associated with a success rate of 74 per cent (95 per cent confidence
interval, 52 to 84) at four years; observation only, with a success rate of
34 per cent (95 per cent confidence interval, 16 to 49); and electrical
stimulation, with a success rate of 33 per cent (95 per cent confidence
interval, 12 to 60).(ABSTRACT TRUNCATED AT 250 WORDS)
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