Bracing for Impact – Bracing in Adolescent Idiopathic Scoliosis

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Journal of Clinical Orthopaedics | Vol 8 | Issue 1 |  Jan-Jun 2023 | page: 38-40 | Kshitij Chaudhary

DOI: 10.13107/jcorth.2023.v08i01.561

Author: Kshitij Chaudhary [1]

[1] Orthopaedic Spine Surgeon, Department of Orthopaedics, P.D. Hinduja National Hospital and Research Centre,
Mumbai, Maharashtra, India..

Address of Correspondence
Dr. Kshitij Chaudhary,
1417, OPD Building, PD hinduja Hospital and Research Center, Veer Savarkar Marg, Mahim, Mumbai, 400016, India.
E-mail: chaudhary.kc@gmail.com

Abstract

Bracing plays a vital role in the non-operative treatment of adolescent idiopathic scoliosis (AIS), especially when detected early. Recent high-quality studies confirm that bracing can alter the natural progression of a curve, potentially preventing the need for surgery. The concept is based on the ability of external force to guide spine growth, which has been experimentally proven. However, bracing cannot straighten the spine; its primary goal is to halt the curve’s progression. The evidence for bracing is strong, with studies showing that approximately two-thirds of AIS curves can be controlled through bracing. However, there are concerns about the broad application of bracing indications, potentially leading to unnecessary treatment for some patients. Identifying the 25% of patients who will benefit from bracing remains a challenge. Bracing is most effective when applied to curves between 25-45° during the rapid growth phase, but compliance is crucial for success. The choice of brace type matters less than its quality and corrective effect. The practice of bracing requires a close orthotist-surgeon relationship, and follow-up visits are essential to monitor progress. Ultimately, bracing remains a valuable non-surgical option for AIS, but careful patient selection and close monitoring are necessary for optimal results.

Keywords: Brace, Adolescent idiopathic scoliosis.

References

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  2. Nachemson AL. Long-term effect of brace treatment on nonoperated immature idiopathic scoliosis followed to skeletal maturity. Spine 1995;20(12):1363-1367.
  3. Winter RB, Lonstein JE, Denis F, Johnson L. Scoliosis: etiology, diagnosis, and natural history. J Pediatric Ortho 1983;3(4):341-351.
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How to Cite this article: Chaudhary K. Bracing for Impact – Bracing in Adolescent Idiopathic Scoliosis. Journal of Clinical Orthopaedics Jan-Jun 2023;8(1):38-40.

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