The Efficacy of a Novel Hybrid Brace in the Treatment of Adolescent Idiopathic Scoliosis: A Prospective Case-Series Study

Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the...

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Vydané v:	Children (Basel) Ročník 12; číslo 3; s. 328
Hlavní autori:	Kim, Hyoungmin, Chang, Sam Yeol, Chang, Bong Soon, Lee, Jun Yeop, Jang, Seonpyo, Kim, Sung Taeck
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Switzerland MDPI AG 05.03.2025 MDPI
Predmet:	adolescent idiopathic scoliosis brace Care and treatment Classification Development and progression Lenke classification Patients Questionnaires Risser sign Scoliosis Success Vertebrae Lenke classification brace Risser sign adolescent idiopathic scoliosis
ISSN:	2227-9067, 2227-9067
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Abstract	Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical efficacy of the novel hybrid brace. Methods: We enrolled AIS patients who were candidates for brace treatment: aged 10–18 years, with a coronal Cobb angle of 20–45° and a Risser stage of 0–2. The primary outcome was the rate of successful brace treatment, defined as meeting all three criteria: (1) less than 5° of progression in the Cobb angle during follow-up, (2) less than 45° of Cobb angle at the final follow-up, and (3) avoidance of surgical treatment. Results: A total of 24 patients (1 male, 23 female) with a mean age of 12.2 ± 1.2 years were included in this study. At the initiation of bracing, the major curve had a mean Cobb angle of 34.5 ± 6.3° and an in-brace correction (IBC) rate of 41.5 ± 16.0%. The hybrid brace demonstrated a success rate of 91.7% (22/24) during a mean follow-up period of 22.1 ± 6.4 months. After brace treatment, seven (29.2%) patients showed an improvement of more than 5° in their Cobb angle. When compared to a matched control from a retrospective cohort, the hybrid brace demonstrated a greater success rate (91.7% vs. 83.3%) and a higher proportion of patients with an improved curve (29.2% vs. 12.5%), although statistically insignificant. Conclusions: A novel hybrid brace was effective in preventing curve progression in skeletally immature patients with AIS.
AbstractList	Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical efficacy of the novel hybrid brace. Methods: We enrolled AIS patients who were candidates for brace treatment: aged 10-18 years, with a coronal Cobb angle of 20-45° and a Risser stage of 0-2. The primary outcome was the rate of successful brace treatment, defined as meeting all three criteria: (1) less than 5° of progression in the Cobb angle during follow-up, (2) less than 45° of Cobb angle at the final follow-up, and (3) avoidance of surgical treatment. Results: A total of 24 patients (1 male, 23 female) with a mean age of 12.2 ± 1.2 years were included in this study. At the initiation of bracing, the major curve had a mean Cobb angle of 34.5 ± 6.3° and an in-brace correction (IBC) rate of 41.5 ± 16.0%. The hybrid brace demonstrated a success rate of 91.7% (22/24) during a mean follow-up period of 22.1 ± 6.4 months. After brace treatment, seven (29.2%) patients showed an improvement of more than 5° in their Cobb angle. When compared to a matched control from a retrospective cohort, the hybrid brace demonstrated a greater success rate (91.7% vs. 83.3%) and a higher proportion of patients with an improved curve (29.2% vs. 12.5%), although statistically insignificant. Conclusions: A novel hybrid brace was effective in preventing curve progression in skeletally immature patients with AIS.Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical efficacy of the novel hybrid brace. Methods: We enrolled AIS patients who were candidates for brace treatment: aged 10-18 years, with a coronal Cobb angle of 20-45° and a Risser stage of 0-2. The primary outcome was the rate of successful brace treatment, defined as meeting all three criteria: (1) less than 5° of progression in the Cobb angle during follow-up, (2) less than 45° of Cobb angle at the final follow-up, and (3) avoidance of surgical treatment. Results: A total of 24 patients (1 male, 23 female) with a mean age of 12.2 ± 1.2 years were included in this study. At the initiation of bracing, the major curve had a mean Cobb angle of 34.5 ± 6.3° and an in-brace correction (IBC) rate of 41.5 ± 16.0%. The hybrid brace demonstrated a success rate of 91.7% (22/24) during a mean follow-up period of 22.1 ± 6.4 months. After brace treatment, seven (29.2%) patients showed an improvement of more than 5° in their Cobb angle. When compared to a matched control from a retrospective cohort, the hybrid brace demonstrated a greater success rate (91.7% vs. 83.3%) and a higher proportion of patients with an improved curve (29.2% vs. 12.5%), although statistically insignificant. Conclusions: A novel hybrid brace was effective in preventing curve progression in skeletally immature patients with AIS. Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical efficacy of the novel hybrid brace. Methods: We enrolled AIS patients who were candidates for brace treatment: aged 10–18 years, with a coronal Cobb angle of 20–45° and a Risser stage of 0–2. The primary outcome was the rate of successful brace treatment, defined as meeting all three criteria: (1) less than 5° of progression in the Cobb angle during follow-up, (2) less than 45° of Cobb angle at the final follow-up, and (3) avoidance of surgical treatment. Results: A total of 24 patients (1 male, 23 female) with a mean age of 12.2 ± 1.2 years were included in this study. At the initiation of bracing, the major curve had a mean Cobb angle of 34.5 ± 6.3° and an in-brace correction (IBC) rate of 41.5 ± 16.0%. The hybrid brace demonstrated a success rate of 91.7% (22/24) during a mean follow-up period of 22.1 ± 6.4 months. After brace treatment, seven (29.2%) patients showed an improvement of more than 5° in their Cobb angle. When compared to a matched control from a retrospective cohort, the hybrid brace demonstrated a greater success rate (91.7% vs. 83.3%) and a higher proportion of patients with an improved curve (29.2% vs. 12.5%), although statistically insignificant. Conclusions: A novel hybrid brace was effective in preventing curve progression in skeletally immature patients with AIS. : Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid brace has been developed to overcome the limitations of conventional rigid and soft braces. This study aimed to evaluate the clinical efficacy of the novel hybrid brace. : We enrolled AIS patients who were candidates for brace treatment: aged 10-18 years, with a coronal Cobb angle of 20-45° and a Risser stage of 0-2. The primary outcome was the rate of successful brace treatment, defined as meeting all three criteria: (1) less than 5° of progression in the Cobb angle during follow-up, (2) less than 45° of Cobb angle at the final follow-up, and (3) avoidance of surgical treatment. : A total of 24 patients (1 male, 23 female) with a mean age of 12.2 ± 1.2 years were included in this study. At the initiation of bracing, the major curve had a mean Cobb angle of 34.5 ± 6.3° and an in-brace correction (IBC) rate of 41.5 ± 16.0%. The hybrid brace demonstrated a success rate of 91.7% (22/24) during a mean follow-up period of 22.1 ± 6.4 months. After brace treatment, seven (29.2%) patients showed an improvement of more than 5° in their Cobb angle. When compared to a matched control from a retrospective cohort, the hybrid brace demonstrated a greater success rate (91.7% vs. 83.3%) and a higher proportion of patients with an improved curve (29.2% vs. 12.5%), although statistically insignificant. : A novel hybrid brace was effective in preventing curve progression in skeletally immature patients with AIS.
Audience	Academic
Author	Kim, Hyoungmin Jang, Seonpyo Chang, Bong Soon Kim, Sung Taeck Lee, Jun Yeop Chang, Sam Yeol
AuthorAffiliation	Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehangno, Jongrogu, Seoul 03080, Republic of Korea; hmkim21@gmail.com (H.K.); bschang@snu.ac.kr (B.S.C.); lssjy1011@gmail.com (J.Y.L.); sshs1010@gmail.com (S.J.); kstbest0915@naver.com (S.T.K.)
AuthorAffiliation_xml	– name: Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehangno, Jongrogu, Seoul 03080, Republic of Korea; hmkim21@gmail.com (H.K.); bschang@snu.ac.kr (B.S.C.); lssjy1011@gmail.com (J.Y.L.); sshs1010@gmail.com (S.J.); kstbest0915@naver.com (S.T.K.)
Author_xml	– sequence: 1 givenname: Hyoungmin orcidid: 0000-0002-4500-9653 surname: Kim fullname: Kim, Hyoungmin – sequence: 2 givenname: Sam Yeol orcidid: 0000-0003-4152-687X surname: Chang fullname: Chang, Sam Yeol – sequence: 3 givenname: Bong Soon surname: Chang fullname: Chang, Bong Soon – sequence: 4 givenname: Jun Yeop orcidid: 0000-0002-8257-7959 surname: Lee fullname: Lee, Jun Yeop – sequence: 5 givenname: Seonpyo orcidid: 0009-0003-0973-6276 surname: Jang fullname: Jang, Seonpyo – sequence: 6 givenname: Sung Taeck orcidid: 0000-0002-8403-814X surname: Kim fullname: Kim, Sung Taeck
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/40150610$$D View this record in MEDLINE/PubMed
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Cites_doi	10.1007/s00586-013-3146-1 10.1177/0309364618792727 10.1097/00007632-200111010-00012 10.31616/asj.2022.0011 10.1097/01.brs.0000178819.90239.d0 10.1097/BRS.0000000000003559 10.1186/s13013-014-0025-4 10.1056/NEJMoa1307337 10.3390/jcm7060136 10.31616/asj.2024.0367 10.1016/j.spinee.2014.12.004 10.1097/01.bpb.0000271330.64234.db 10.1007/s00586-019-06077-z 10.1007/s11832-012-0457-4 10.1302/0301-620X.103B1.BJJ-2020-1240.R1 10.1186/s13013-017-0114-2 10.1007/s43390-024-00882-3 10.31616/asj.2022.0162 10.3928/01477447-20141124-56 10.1097/BRS.0000000000001634 10.3390/jcm10102145 10.1007/s00586-022-07131-z
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Snippet	Background/Objectives: Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS)... : Bracing is an effective treatment for preventing curve progression in skeletally immature adolescent idiopathic scoliosis (AIS) patients. A novel hybrid...
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StartPage	328
SubjectTerms	adolescent idiopathic scoliosis brace Care and treatment Classification Development and progression Lenke classification Patients Questionnaires Risser sign Scoliosis Success Vertebrae
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Title	The Efficacy of a Novel Hybrid Brace in the Treatment of Adolescent Idiopathic Scoliosis: A Prospective Case-Series Study
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Volume	12
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