Treatment outcomes across curve patterns and severities in adolescent idiopathic scoliosis treated with a pattern-specific CAD-CAM brace.
Tuğba Kuru Çolak, Burçin Akçay, Hans-Rudolf Weiss and 4 others
PMID 42181829WHAT IT FOUND
A custom 3D-scanned brace helped 91% of girls with adolescent idiopathic scoliosis avoid curve progression.
Outcomes were similar across different spine curve patterns and severity levels. The study included only females aged 10 to 14 with moderate to severe curves.
Key findings
01The overall treatment success rate, defined as curve correction or stabilization, was 91% across all curvature patterns.
02There were no statistically significant differences in treatment success based on curve location (thoracic, lumbar, thoracolumbar) or baseline severity (under or over 40 degrees).
03Patients reported an average daily brace-wearing time of 20.7 hours, with 91% of patients wearing the brace for 18 hours or more daily.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study was retrospective, and blinding or formal reliability analyses for measurements were not performed. The sample included only female patients aged 10 to 14 with Risser stages 0 to 2, so results may not apply to males or patients with different skeletal maturity. Brace compliance was assessed via self-report rather than objective sensors, which may overestimate actual wear time. Patient-reported outcomes, satisfaction, and cosmetic concerns were not evaluated. The minimum follow-up was 18 months, which captures the high-risk growth period but does not confirm the durability of correction after skeletal maturity or brace discontinuation.
Declared interests
The paper does not explicitly state funding sources or conflicts of interest in the provided text, though it notes that the study was conducted in accordance with ethical guidelines and that data were collected from four specialized centers.
The easy way to misread this
Do not assume these results apply to all scoliosis patients. The study included only females aged 10 to 14 with Risser stages 0 to 2 and curves of at least 20 degrees. It did not include males, patients with different skeletal maturity, or those with curves under 20 degrees.
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