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Treatment of bracing for adolescent idiopathic scoliosis patients: a meta-analysis

  • Yuhao Zhang
  • Xingwei LiEmail author
Review Article
  • 94 Downloads

Abstract

Purpose

A meta-analysis was conducted to compare the efficacy and safety of bracing and other treatments in adolescent idiopathic scoliosis (AIS) patients.

Methods

PubMed, Embase, and Cochrane Central Register of Controlled Trials were searched for randomized controlled trials that investigated bracing and other treatments for AIS. The Mantel–Haenszel method with fixed-effects or random-effects model was used to calculate the relative risks and 95% confidence intervals (CIs). The results of heterogeneity, sensitivity analysis, and publication bias were analyzed.

Results

Seven studies that met the eligibility criteria with 791 participants were included. The results of meta-analysis suggested significant differences between bracing and observation groups in successful outcomes [OR 3.58, 95% CI (1.92, 6.68), P < 0.0001; P for heterogeneity = 0.008, I2 = 65%], quality of life [MD = 2.13, 95% CI (0.51, 3.75), P = 0.01; P for heterogeneity = 0.89, I2 = 0%], and adverse events [OR 5.31, 95% CI (2.42, 11.66), P < 0.0001; P for heterogeneity = 0.78, I2 = 0%].

Conclusion

The findings of this meta-analysis suggested that bracing is efficient and safe for the treatment of AIS.

Graphic abstract

These slides can be retrieved under Electronic Supplementary Material.

Keywords

Bracing Adolescent idiopathic scoliosis Efficacy Safety Meta-analysis 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

586_2019_6075_MOESM1_ESM.pptx (3.9 mb)
Supplementary material 1 (PPTX 4021 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Orthopedicsthe Second Affiliated Hospital of Kunming Medical UniversityKunmingChina
  2. 2.Department of Bone and Joint RehabilitationYunnan Province Disabled Rehabilitation CenterKunmingChina

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