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European Journal of Orthopaedic Surgery & Traumatology

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28-02-2024 | Adolescent Idiopathic Scoliosis | Original Article

A pilot study on the “ScoliBrace” in the treatment of adolescent idiopathic scoliosis

Authors: Kevin Boon Leong Lim, Heidi Ka Wing Mak, Siti Hauzah Abdul Rahaman, Ling Ling Ong, Shi Yang Jess Ooi, Nicole Kim Luan Lee

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2024

Abstract

Purpose

Bracing for adolescents with idiopathic scoliosis (AIS) is a treatment option to prevent curve progression to surgical level. This study aimed to assess the efficacy of a 3D fully customized over corrective brace, “ScoliBrace,” an orthosis treatment for AIS.

Methods

This was a prospective pilot study of AIS female patients with inclusion criteria followed recommended Scoliosis Research Society (SRS) Guidelines. Cobb angles measured at: baseline (T0), 21 months (T5-2), skeletal maturity (T6), 6 months post-brace (T7), along with hours of brace wear using a thermal sensor and health-related quality of life (HRQoL) using the SRS-22r questionnaire.

Results

A total of 30 female AIS patients with mean age 11.85 ± 0.68 years, predominantly Risser 0 (70%), and median Cobb angle 29° were recruited; 21 patients were included for the final analysis. Results showed significant difference in Cobb angle between T0 and T5-2 (median = 22.5° vs. 28.5°, p = 0.0082). 57.14% had reduction in Cobb angle by ≥ 5° at skeletal maturity. Cobb angle reduced 0.794° for each additional hour of dosage (p = 0.036, 95% CI = − 1.532°, − 0.056°). Although pain level was increased at T6 (4.37 ± 0.51vs.4.70 ± 0.41, p = 0.014), patients reported significantly greater satisfaction with management of their condition (3.90 ± 0.90vs.3.29 ± 0.88, p = 0.020).

Conclusion

Results show similar findings to the BRAIST study, whereby curves remained under surgical threshold and showed improvement. More than half had curve reduction of ≥ 5° at skeletal maturity. Increased dose was also associated with improved outcomes. Using “ScoliBrace” as a non-surgical treatment, maintained curves below surgical threshold and showed curve reduction, improving patient satisfaction with management.

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Title: A pilot study on the “ScoliBrace” in the treatment of adolescent idiopathic scoliosis
Authors: Kevin Boon Leong Lim
Heidi Ka Wing Mak
Siti Hauzah Abdul Rahaman
Ling Ling Ong
Shi Yang Jess Ooi
Nicole Kim Luan Lee
Publication date: 28-02-2024
Publisher: Springer Paris
Keywords: Adolescent Idiopathic Scoliosis
Scoliosis
Orthosis
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2024
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-024-03845-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

A pilot study on the “ScoliBrace” in the treatment of adolescent idiopathic scoliosis

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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