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SpineCor vs rigid brace for Adolescent Idiopathic Scoliosis: end of growth results from a retrospective controlled study
Scoliosis volume 8, Article number: O56 (2013)
SpineCor and rigid braces both have both results testifying to their effectiveness in Adolescent Idiopathic Scoliosis (AIS) treatment: an RCT recently compared the two, showing the superiority of rigid braces. In a previous study, we found similar short- term results in curves between 20° and 30° Cobb.
The objective of this study was to compare the short-term results of the Spinecor vs SPoRT brace for AIS in this selected population.
Study design: retrospective controlled study. Population: Rigid Brace Groups (RBGs) 20 patients (16 female), age 13±1, Cobb 24±5°, ATR 8±3°, TRACE score 7, Risser 0-3. Spinecor Group (SG): 41 patients (33 females) age 13±1, Cobb angle 24±5°, ATR 8±3°, TRACE score 6, Risser 0-3. Both groups were treated with a full-time brace (18 to 23 hours per day upon initial prescription). Clinical and radiological evaluations were performed at the beginning and end of treatment. Main outcome measures: Cobb angle (changes > ±5), ATR, TRACE (changes ≥3). Statistics: Chi square, t-test.
Considering patients with more than 5° of Cobb angle change, 40% improved, 45% remained stable and 15% worsened in the RBG vs. 22%, 34% and 44% (p<0.05), respectively. No differences were found for ATR. For TRACE, there were no differences among groups: in RBG, 50% improved and 50% were stable, vs. 65%, 31% and 5% worsened (p>0.05).
Conclusions and discussion
Both treatments showed to be effective in improving the aesthetics in AIS. For the other parameters, the SPoRT brace seemed to be more effective than the SpineCor to avoid curve progression, since the number of worsened patients was much higher for the SG. The main limits of the study were the retrospective design and the small population, so further studies are required.
Zaina F, Donzelli S, Negrini A, Romano M, Negrini S: SpineCor, exercise and SPoRT rigid brace: what is the best for Adolescent Idiopathic Scoliosis? Short term results from 2 retrospective studies. Stud Health Technol Inform. 2012, 176: 361-4.
Wong MS, Cheng JC, Lam TP, Ng BK, Sin SW, Lee-Shum SL, Chow DH, Tam SY: The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance of the patients with adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2008, 33 (12): 1360-5. 10.1097/BRS.0b013e31817329d9.
Negrini S, Aulisa AG, Aulisa L, Circo AB, de Mauroy JC, Durmala J: 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis. 2012, 7 (1): 3. 10.1186/1748-7161-7-3.
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Zaina, F., Digiacomo, F., Donzelli, S. et al. SpineCor vs rigid brace for Adolescent Idiopathic Scoliosis: end of growth results from a retrospective controlled study. Scoliosis 8, O56 (2013). https://doi.org/10.1186/1748-7161-8-S2-O56
- Public Health
- Small Population
- Adolescent Idiopathic Scoliosis
- Idiopathic Scoliosis
- Cobb Angle