{"id":6867,"date":"2022-12-12T04:16:36","date_gmt":"2022-12-12T04:16:36","guid":{"rendered":"https:\/\/scolicare.com\/us-clinic\/bracing-interventions-can-help-adolescents-with-idiopathic-scoliosis-with-surgical-indication-a-systematic-review\/"},"modified":"2022-12-12T04:16:36","modified_gmt":"2022-12-12T04:16:36","slug":"bracing-interventions-can-help-adolescents-with-idiopathic-scoliosis-with-surgical-indication-a-systematic-review","status":"publish","type":"post","link":"https:\/\/scolicare.com\/denver-colorado\/bracing-interventions-can-help-adolescents-with-idiopathic-scoliosis-with-surgical-indication-a-systematic-review\/","title":{"rendered":"Bracing Interventions Can Help Adolescents with Idiopathic Scoliosis with Surgical Indication: A Systematic Review"},"content":{"rendered":"<h5><strong>By Rosemary Marchese &#8211; Head of Research and Education, Physiotherapist\u00a0<\/strong><\/h5>\n<p><b>Background<\/b><\/p>\n<p><span style=\"font-weight: 400\">Bracing for adolescents with scoliosis curves between 20 and 40 degrees<\/span><span style=\"font-weight: 400\">\u00a0is generally accepted as an appropriate treatment of choice during adolescent growth. Beyond that, surgery is often proposed for curves larger than 45 degrees [1].\u00a0<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-23758 alignright\" src=\"https:\/\/scolicare.com\/wp-content\/uploads\/2022\/12\/Untitled-design-54.png\" alt=\"\" width=\"442\" height=\"442\" \/><\/p>\n<p><span style=\"font-weight: 400\">The authors of a systematic review aimed to report the current evidence about the effectiveness of bracing in adolescents with residual growth and curves larger than 40 degrees<\/span><span style=\"font-weight: 400\"> [2].<\/span><\/p>\n<p><b>Methods<\/b><\/p>\n<p><span style=\"font-weight: 400\">The authors conducted a systematic review on bracing interventions on Cobb angle modification in idiopathic scoliosis where surgical indication existed.\u00a0<\/span><\/p>\n<p><b>What did the Authors Mind?\u00a0<\/b><\/p>\n<p><span style=\"font-weight: 400\">From the sample of nine studies analysed that met the inclusion criteria, the authors reported:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">32% of patients improved (&gt; 5<\/span><span style=\"font-weight: 400\">o<\/span><span style=\"font-weight: 400\"> Cobb change), 26% were stable, 42% progressed.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The rate of improvement ranged from 11% to 78% while the rate of progression ranged from 4% to 64%.\u00a0<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">The surgical rates were not reported in all studies but ranged from 0 to 58%, with differences in each study.\u00a0<\/span><\/li>\n<\/ul>\n<p><b>Take Home Messages<\/b><\/p>\n<p><span style=\"font-weight: 400\">The authors reported that more and better quality studies are needed. However, there are some studies suggesting the use of bracing in the case of severe curves when patients are motivated by trying to avoid surgery. <\/span><\/p>\n<h5><b>References:<\/b><\/h5>\n<ol>\n<li><span style=\"font-weight: 400\">(SRS) SRS Adolescent Idiopathic Scoliosis [Internet]. <\/span><a href=\"https:\/\/wwwsrsorg\/patients-and-families\/conditions-and-treatments\/adolescents\"><span style=\"font-weight: 400\">https:\/\/wwwsrsorg\/patients-and-families\/conditions-and-treatments\/adolescents<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400\"> Zaina F, Cordani, C., Donzelli, S., Lazzarini, SG., Arienti, C., Del Furia, MJ., and Negrini, S. (2022) Bracing Interventions Can Help Adolescents with Idiopathic Scoliosis with Surgical Indication: A Systematic Review. Children 9:1672. doi: <\/span><a href=\"https:\/\/doi.org\/10.3390\/children9111672\"><span style=\"font-weight: 400\">https:\/\/doi.org\/10.3390\/children9111672<\/span><\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>By Rosemary Marchese &#8211; Head of Research and Education, Physiotherapist\u00a0 Background Bracing for adolescents with scoliosis curves between 20 and 40 degrees\u00a0is generally accepted as an appropriate treatment of choice during adolescent growth. Beyond that, surgery is often proposed for curves larger than 45 degrees [1].\u00a0 The authors of a&hellip;<\/p>\n","protected":false},"author":1,"featured_media":6870,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[40],"tags":[24,20,73,16],"ppma_author":[84],"class_list":["post-6867","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-scoliosis","tag-adult","tag-exercise","tag-research","tag-scoliosis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Bracing Interventions Can Help Adolescents with Idiopathic Scoliosis with Surgical Indication: A Systematic Review &#8211; Denver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scolicare.com\/denver-colorado\/bracing-interventions-can-help-adolescents-with-idiopathic-scoliosis-with-surgical-indication-a-systematic-review\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bracing Interventions Can Help Adolescents with Idiopathic Scoliosis with Surgical Indication: A Systematic Review &#8211; Denver\" \/>\n<meta property=\"og:description\" content=\"By Rosemary Marchese &#8211; Head of Research and Education, Physiotherapist\u00a0 Background Bracing for adolescents with scoliosis curves between 20 and 40 degrees\u00a0is generally accepted as an appropriate treatment of choice during adolescent growth. 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