Abstract
BackgroundFirst author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society brace studies criteria. A retrospective analysis of medical records of 2705 girls treated from 1989 to 2002 was carried out.MethodsAge, Cobb, Risser and menarchal status were analyzed for compliance with the Scoliosis Research Society brace studies criteria: a) age ≥10 years, b) Risser 0–2, c) 25–40° Cobb angle, d) no earlier treatment, e) patients before first menses or not more than one year from first menses.ResultsIt has been found that 183 girls out of 2705 were ≥10 years old and in the range 25–40° Cobb angle. One hundred two out of 2705 patients revealed eligible for brace effectiveness study according to SRS 2005 criteria. 120 out of 2705 patients revealed eligible for brace brace effectiveness study according to SRS-SOSORT 2014 criteria.ConclusionThe excluded patients revealed too old or with too significant Cobb angles. This indicates the changing criteria for scoliosis brace treatment over the time. Direct comparison of current results of brace treatment with historical series of cases turns out to be very difficult.
Highlights
First author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society brace studies criteria
In 2003 Landauer et al published the results of retrospective research of the effectiveness of brace treatment in 62 patients complied with inclusion criteria : a) girls, b) rightsided thoracic idiopathic scoliosis, c) 20–40° Cobb angle, d) brace treatment started in 10–14 years old, e) no first menses, f) minimum two years before expected skeletal maturity [4]
It has been found that 183 girls out of 2705 (6.8 % of the total treated with a brace) were ≥10 years old and in the range 25–40° Cobb angle
Summary
First author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society brace studies criteria. In 2003 Landauer et al published the results of retrospective research of the effectiveness of brace treatment in 62 patients complied with inclusion criteria : a) girls, b) rightsided thoracic idiopathic scoliosis, c) 20–40° Cobb angle, d) brace treatment started in 10–14 years old, e) no first menses, f) minimum two years before expected skeletal maturity [4]. The study was prospective and the inclusion criteria were following: a) both sexes, b) diagnosed idiopathic scoliosis, c) 20–40° Cobb angle, d) no previous treatment, e) Risser ≥4 at the moment of treatment finishing, f) minimum one year of observation after completion of brace treatment. In 2015 Kuroki et al [7] published on retrospectively assessed the effectiveness of OMC brace treatment in 31 patients, 29 girls (93.5 %) and two boys (6.5 %) treated in the years 1999– 2010. The authors modified the SRS criteria by Cobb angle parameter from the value 25–40° to 20–40° invoking the conformity of Weinstein and the associates [7, 8]
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