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. 2011 May;2(2):25–34. doi: 10.1055/s-0030-1267102

Table 1. Characteristics of cohort studies in an idiopathic scoliosis population comparing bracing with observation.

Reference Study design Study population Bracing Observation Outcomes
Nachemson and Peterson (1995)5 Prospective cohort
April 1985–March 1989
N = 240
  • 100% female

  • Mean age: not reported (NR)

  • Skeletal age: 10–15 y

  • Cobb angle: 25–35°

n = 111
  • 23 lost to follow-up (F/U)

  • Underarm plastic brace to be worn 16 h daily

  • Cobb angle: 25–35°

n = 129
  • 9 lost to F/U

  • Cobb angle: 25–35°

Failure rate defined as an increase in the curve of at least 6°
Danielsson et al. (2007) 6
Subpopulation of Nachemson
Prospective cohort
April 1985–March 1989
N = 92
  • 100% female

  • Skeletal age: 10 –15 y

  • Cobb angle: 25–35°

n = 35
  • 6 lost to F/U

  • Boston brace to be worn 16 h daily

  • Cobb angle: 31.8° (26–38°)

n = 57
  • 8 lost to F/U

  • Cobb angle: 29.5° (23–39°)

Surgery rate at 16 y after maturity
Fernandez-Feliberti et al. (1995)7 Retrospective cohort
1982–1990
N = 101
  • 74% female

  • Mean age: NR

n = 54/69
  • Sex: NR

  • 15 patients excluded due to poor compliance

  • TLSO brace worn 23–24 h daily

  • Cobb angle: ≤ 29%: 46.3%

n = 47 (indicated for TLSO, but never used)
  • Sex: NR

  • Cobb angle: ≤ 29%: 57.5%

Surgery rate
Cobb angle < 40°
Cheung et al. (2007) 8 Retrospective cohort
December 1990
N = 92
  • 83% female

  • Mean age: 17 y

  • Age range: 11– 22 y

N = 46
  • 87% female

  • Mean age: 16 y

  • Age range: 11–20 y

  • Rigid underarm brace worn minimum of 20 h daily

  • Cobb angle: 28.8°

n = 46
  • 78% female

  • Mean age: 18 y

  • Age range 12–22 y

  • Cobb angle: 28.8°

SRS-22 questionnaire
Parent et al (2009) 9 Prospective cohort
April 2004–May 2005
N = 139
  • 100% female

  • Age range: 8–20 y

n = 32
  • Mean age: 16.5 ± 6.0

  • Brace type and length of time worn daily: NR

  • Cobb angle: 36.6° ± 9.4°

n = 107
  • Mean age: 17.2 ± 7.7

  • Cobb angle: 33.0° ± 17.2°

SRS-22 questionnaire
Mannherz et al. (1988)10 Retrospective cohort
1940–1986
N = 43
  • 79% female

  • Mean age: 7 y

  • Cobb angle: 21°

n = 31/32 (1 patient refused brace)
  • 75% female

  • Age: NR

  • Milwaukee brace or localizer jacket used 23 ½ h daily

  • Cobb angle: 22°

n = 11
  • 91% female

  • Age: NR

  • Cobb angle: 11°

Surgery rate
Pham et al. (2008)11 Prospective cohort N = 73
  • 90% female

  • Mean age: at presentation 7 y; at skeletal maturity 16.5 y

n = 41
  • 88% female

  • Mean age: 13.3 y ± 1.4

  • Chêneau Brace to be worn 23 h daily

  • Cobb angle: 30.5° ± 3.1

n = 35 part-time (only at night) brace-wearing group not included in analysis
n = 32
  • 94% female

  • Mean age: 12.5 y ± 1.4

  • Cobb angle: 26.5° ± 2.4

Quality of Life Profile for Spine Deformities (QLPSD)
Visual Analog Scale (VAS) for pain and quality of life
Ugwonali et al. (2004)12 Prospective cohort N = 214
  • 81% female

  • Age range: 10.1–17.7 y

N = 78
  • 81% female

  • Mean age: 13.6 y

  • Age range: 10.5–16.7 y

  • Brace type and length of time worn daily: NR

  • Cobb angle: 34.5°

N = 136
  • 81% female

  • Mean age: 13.8 y

  • Age range: 10.1–17.7 y

  • Cobb angle: 24.6°

Child Health Questionnaire (CHQ)
Pediatric Outcomes Data Collection Instrument (PODCI)