Abstract
In the past, numerous non-operative treatments for adolescent idiopathic scoliosis (AIS), including exercise, physical therapy, electrical stimulation, and brace treatment, have been tried to delay or prevent the curve progression. Of these, brace treatment is the only option that is widely accepted and has demonstrated the efficacy to alter the natural history of AIS. Recently, the importance of brace treatment for AIS has been increasing since the efficacy was objectively established by the BrAIST (Bracing in Adolescent Idiopathic Scoliosis Trial) study in 2013. This editorial article summarizes the current status of brace treatment in patients with AIS and discusses future prospects on the basis of our clinical experiences.
Highlights
Scoliosis is a lateral curvature of the spine measuring at least 10◦ on an X-ray as determined by theCobb method
Untreated cases of adolescent idiopathic scoliosis (AIS) may progress, and severe cases are at an increased risk for various morbidity problems and mortality [2]
Efficacy of brace treatment in AIS has continued to be controversial, with some authors reporting control of curve progression with bracing and others reporting that bracing fails to alter the natural history [4]
Summary
Scoliosis is a lateral curvature of the spine measuring at least 10◦ on an X-ray as determined by the. Structural scoliosis is characterized by vertebral and trunk rotation [1]. Untreated cases of adolescent idiopathic scoliosis (AIS) may progress, and severe cases are at an increased risk for various morbidity problems and mortality [2]. In numerous non-operative treatments for AIS, brace treatment is the only potentially effective method in preventing curve progression and the subsequent need for surgery [3]. Various types of braces have been invented and were practically used in the past. In this editorial article, the current status and future prospects of brace treatment in patients with AIS will be summarized and discussed
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