Influence of orthopedic braces on change in Cobb angle in patients with AIS, according to SRS and SOSORT criteria

Abstract

Adolescent idiopathic scoliosis (AIS) poses a comprehensive diagnostic and therapeutic challenge. It develops mainly in children aged 10 to 16. The etiology of AIS is associated with various genetic, postural and neuromuscular factors. We pay special attention to the role of orthopedic braces and their impact on changes in the Cobb angle. The research review covers various types of orthoses, both rigid and flexible, determining their effect on the Cobb angle. Despite promising results, there are challenges related to medical adherence and the long-term use of orthoses may affect the psychological aspects of patients and their families. The twelve studies presented compared patient populations ranging from 2 to 170 people. The following types of braces were analyzed: TLSO, Providence brace, Rigo-Cheneau, Lyon, SpineCor, SPoRT, PASB, rigid brace, Milwaukee, Sforzesco, Sibilla and Risser cast. The results of seven studies indicate therapeutic success, defined as slight progression or stabilization of the Cobb angle in > 82% of patients. Three studies report results in the range of 59–65% success, and two studies report success in less than half of the patients. In analyzing the research data, we find a beneficial effect of orthoses on stabilization of the Cobb angle in AIS. We suggest that further research in line with SRS and SOSORT guidelines is needed to determine which type of orthoses provides the best results. Focusing on prevention may be the key to better control of scoliosis.

Keywords

• scoliosis
• srs
• sosort
• brace
• adolescent idiopathic scoliosis