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The Journal of Bone and Joint Surgery 80:923-5 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Charles T. Price, M.D., Dale E. Rowe, M.D., Daryle Gardner-Bonneau, Ph.D., Saul M. Bernstein, M.D., Max F. Riddick, M.D., Federico Adler, M.D. and John B. Emans, M.D.

TO THE EDITOR:

"A Meta-Analysis of the Efficacy of Non-Operative Treatments for Idiopathic Scoliosis" (79-A: 664–674, May 1997) by Rowe et al. is an example of the shortcomings of this method of literature review. The first paragraph of the introduction indicated that this was a study of adolescent idiopathic scoliosis. However, one of the two studies on the Milwaukee brace4 dealt strictly with the treatment of juvenile idiopathic scoliosis.

Only one study6 was used to represent the natural history of scoliosis. All of the bracing data were compared to only that study as a control. The so-called control study included only girls who were between the ages of ten and fifteen years, with chronological age being the only indicator of maturity. Only single curves with an apex between the eighth thoracic and first lumbar vertebrae were included. Thus, the comparison group of untreated patients serves as a questionable control group . . . [Full Text of this Article]


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