Brace yourself (Part-time): part-time bracing leads to curve improvement in juvenile idiopathic scoliosis.

IF 1.8 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2025-08-15 DOI:10.1007/s43390-025-01162-4

Christina C Rymond, Rishi Sinha, Omar Taha, Matthew Weintraub, Ritt Givens, Mehdi M Elfilali, Jacob R Ball, Afrain Z Boby, Alondra Concepcion-Gonzalez, Kevin Lu, Ameeka George, Michael G Vitale, Benjamin D Roye

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引用次数: 0

Abstract

Purpose: The efficacy of bracing for juvenile idiopathic scoliosis (JIS) remains controversial. Although full-time bracing is standard for curves > 25°, part-time bracing for smaller curves (< 25°) may prevent progression. This study evaluates the effectiveness of part-time bracing compared to observation in JIS patients with 15-24° curves, hypothesizing that part-time bracing reduces curve progression and the need for full-time bracing.

Methods: This retrospective cohort study reviewed skeletally immature JIS patients (4-10 years old) with 15-24° curves. Patients underwent either observation or part-time bracing (8-12 h/day). Minimum two-year outcomes included: (1) curve change (> 5°), (2) progression to > 25° requiring full-time bracing, and (3) prescription for full-time bracing.

Results: Eighty-three patients (59% observed, 41% braced) were analyzed. The braced cohort demonstrated slightly higher baseline curves (+ 1.6°, p = 0.01). By final follow-up, braced patients improved by 3.2° (p = 0.05), while the observed cohort worsened by 3.4° (p = 0.05). More braced patients improved > 5° (69% vs. 21%, p < 0.001), whereas more observed patients progressed > 5° (54% vs. 11%, p < 0.001) and to > 25° (54% vs. 20%, p = 0.002). Full-time bracing was prescribed for 63% of observed patients but only 17% of braced patients (p < 0.001).

Conclusion: Part-time bracing not only prevents curve progression, but also frequently leads to improved curve magnitude in JIS patients with smaller curves, minimizing the need for full-time bracing.

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支撑自己（兼职）：兼职支撑可以改善青少年特发性脊柱侧凸的曲度。

目的：支具治疗青少年特发性脊柱侧凸（JIS）的疗效仍有争议。虽然全时支具是bbb25°弯曲的标准，但对于较小的弯曲，兼职支具是标准的。方法：本回顾性队列研究回顾了15-24°弯曲的骨骼未成熟JIS患者（4-10岁）。患者接受观察或部分支具（8-12小时/天）。至少两年的结果包括：(1)曲线改变（> 5°），(2)进展到> 25°需要全时支架，(3)处方全时支架。结果：分析83例患者（59%观察，41%支具）。支架组的基线曲线略高（+ 1.6°，p = 0.01）。到最后随访时，支具组患者改善了3.2°（p = 0.05），而观察组患者恶化了3.4°（p = 0.05）。做好患者改善> 5°(69%比21%,p 5°(54%比11%,p 25°(54%比20%,p = 0.002)。63%的观察患者使用了全时支具，但只有17%的患者使用了全时支具(p结论：非全时支具不仅可以防止弯曲进展，而且通常可以改善弯曲较小的JIS患者的弯曲幅度，最大限度地减少了对全时支具的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.