Abstract
Until recently, five fundamental questions regarding the orthotic treatment of idiopathic scoliosis have eluded a clear answer: 1. Does bracing prevent the progression of scoliosis? 2. If so, in which patients? 3. What type of brace works best? 4. How many hours per day must the brace be worn in order to be effective? 5. Why do some patients have successful control of their curves while others do not? The first question was addressed in 1995 by a prospective controlled multicenter study sponsored by the Scoliosis Research Society, which showed that only 27% of patients treated with a brace had curve progression versus 63% in a control group1. Subsequently, another well-designed and executed prospective controlled multicenter study, the Bracing in Adolescent Idiopathic Scoliosis Trial (BRAIST)2, confirmed that bracing is effective in controlling the progression of scoliosis. Nevertheless, in that study, brace treatment was (once again) unsuccessful in 27% of patients. It is appropriate to ask why the curve progressed in 27% of the patients despite bracing …
Published Version
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