Adolescent Idiopathic Scoliosis (AIS)
Conditions
Brief summary
Introduction: Spinal bracing remains the gold standard for conservative management of adolescent idiopathic scoliosis (AIS). However, poor adherence often limits treatment efficacy. The development of a brace that enhances compliance while maintaining sufficient corrective force is crucial. This study aimed to develop and evaluate the effectiveness of a novel semi-rigid brace for AIS based on wearing time and correction rate. Materials and Methods: The investigators enrolled patients who met the following Scoliosis Research Society (SRS) criteria for brace treatment: (1) confirmed AIS diagnosis, (2) Risser sign ≤ 2, (3) Cobb angle between 25° and 40°, (4) age ≥ 10 years, and (5) single-curve pattern. Wearing time was objectively measured over 180 days using embedded temperature sensors. Correction rates were assessed at initiation and after 180 days or more.
Interventions
The semi-rigid spinal brace was developed to enhance patient compliance while maintaining effective curve correction. Patients were instructed to wear the brace for 18-20 h daily.
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosed AIS * Risser sign ≤ 2 * Cobb angle between 25° and 40° * age ≥ 10 years * single-curve pattern (thoracic or thoracolumbar/ lumbar) * premenarchial or less than one year post-menarche.
Exclusion criteria
* Patients who do not meet the SRS criteria for orthosis suitability * Patients with a history of spinal surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Wearing time | 180 days from registration |
Secondary
| Measure | Time frame |
|---|---|
| Initial correction rate | Immediately after registration |
| Correction rate after 180 days or more | 180 days or more from registration |
| Treatment success rate | 2 years or more from registration |
Countries
Japan