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The Journal of Bone and Joint Surgery 78:151 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

David L. Skaggs, M.D., Alf Nachemson, M.D., Ph.D. and Lars-Erik Peterson, Ph.D.

TO THE EDITOR:

I would like to compliment Nachemson et al. on their long-awaited article "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" (77-A: 815–822, June 1995). While the methodology was unequivocally a model for the orthopaedic community, I would like to suggest an alternative perspective for interpreting the data.

The study involved girls who had a thoracic or thoracolumbar curve of 25 to 35 degrees, and failure was defined as progression of the curve of at least 6 degrees. According to this criterion, a girl in whom the curve progressed from 25 to 31 degrees would be considered to have a failure of treatment, while, clinically, I suspect most orthopaedists would consider this a success. Nachemson et al. reported a crude rate of failure of 19 per cent . . . [Full Text of this Article]


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