Abstract
The article reviews the present knowledge about brace treatment for adolescent idiopathic scoliosis (AIS). Indications, technique, problems, and results, are presented based on the literature. It is stressed by the authors that more scientific evidence is needed to reach a final conclusion whether brace treatment in AIS is effective or not.
Highlights
Brace treatment of adolescent idiopathic scoliosis (AIS) is controversial
In a large series looking at patients treated with Boston brace and Charleston bending brace published by Katz et al [34], the failure rate in 25 male patients was 80 % in comparison to 36 % in girls
Three of the brace treatment for adolescent idiopathic scoliosis has been used for a long time, there is still no final scientific proof for its efficacy
Summary
Brace treatment of adolescent idiopathic scoliosis (AIS) is controversial. The body of evidence for its efficacy is weak, despite the fact that it has been advocated in different forms for centuries. This result is supported by an almost 60-year follow-up showing an increased death rate only for patients with infantile and juvenile curves but not for AIS [3]. A 15 % failure rate for brace-treated patients compared favourably with 45 % in the observation group.
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