Abstract
The aim of the study was to assess the results of treatment of adolescent idiopathic scoliosis (AIS) with the Providence nighttime brace at 1.8 years after discontinuation of bracing. A total of 36 consecutive female patients with an average Cobb angle of 28.4° and an apex below T 10 were studied prospectively. For comparisons, 36 matched patients treated with the Boston full-time brace were studied retrospectively. With the Providence night brace an average of 92% for brace correction of the primary curve was achieved and during follow-up progression of the curve >5° occurred in 27% of the patients. In the control group of the Boston full-time brace patients, brace correction was 50% and the progression of the major curve occurred in 22% of the patients. We conclude that the Providence night brace may be recommended for the treatment of AIS with curves less than 35° in lumbar and thoracolumbar cases.
Similar content being viewed by others
References
Bunnell WP (1986) the natural history of idiopathic scoliosis before skeletal maturity. Spine 11:773–776
d’Amato CR, Griggs S, McCoy (2001) Nighttime bracing with the Providence brace in adolescent girls with idiopathic scoliosis. Spine 26:2006–2012
Emans JB, Kaelin A, Bancel P, Hall JE; Miller ME (1986) The Boston bracing system for idiopathic scoliosis. Follow-up results of 295 patients. Spine 11:792–801
Green NE (1986) Part-time bracing of adolescent idiopathic scoliosis. J Bone Joint Surg (Am) 68:738–742
Katz DE, Richards BS, Browne RH, Herring JA (1997) A comparison between the Boston brace and the Cherleston bending brace in adolescent idiopathic scoliosis. Spine 22:1302–1312
Lonstein JE, Carlson JM (1984) The prediction of curve progression in untreated scoliosis during growth. J Bone Joint Surg (Am) 66:1061–1071
Lonstein JE, Winter RB (1994) The Milwaukee brace for the treatment of adolescent idiopathic scoliosis: a review of one thousand and twenty patients. J Bone Joint Surg (Am) 76:1207–1221
Nachemson AL, Peterson LE (1995) Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis: a prospective, controlled study based on data from the Brace study of the Scoliosis Research Society. J Bone Joint Surg (AM) 77:815–821
Nachemson A, Lonstein JE, Weinstein SL (1982) Prevalence and natural history committee report. Read at the annual meeting of the scoliosis research society. Denver, Colorado
Olaffsson Y, Saraste H, Söderlund V, Hoffsten M (1995) Boston brace in the treatment of idiopathic scoliosis. J Ped Orthop 15:524–527
Peltonen J, Poussa M, Ylikoski M (1988) Three-year results of bracing in scoliosis. Acta Orthop Scand 59:487–490
Peterson LE, Nachemson AL (1995) Prediction of progression of the curve in girls who have adolescent idiopathic scoliosis of moderate severity; logistic regression analysis based on the data from the Brace study of the Scoliosis Research Society. J Bone Joint Surg (Am) 77:823–827
Price CT, Scott DS, Reed FE Jr, Riddick MF (1990) Nighttime bracing for adolescent idiopathic scoliosis with the Charleston bending brace: preliminary report. Spine 15:1294–1299
Price CT, Scott DS, Reed FE Jr, Sproul JT, Riddick MF (1997) Nighttime bracing for adolescent idiopathic scoliosis with the Charleston bending brace: long-term follow-up. J Ped Orthop 17:703–707
Rowe DE, Bernstein SM, Riddick MF, Adler F, Emans JB, Gardner-Bonneau D (1997) A meta-analysis of the efficacy of non-operative treatment for idiopathic scoliosis. J Bone Joint Surg Am 79:664–674
Takemisu M, Bowen R, Rahman T, Glutting J, Scott C (2004) Compliance monitoring of brace treatment for patients with idiopathic scoliosis. Spine 29:2070–2074
Torell G, Nachemson A, Haderspeck-Grip K, Schultz A (1985) Standing and supine Cobb measures in girls with idiopathic scoliosis. Spine 10:425–427
Willner S (1984) Effect of the Boston thoracic brace on the frontal and sagittal curves of the spine. Acta Orthop Scand 55:457–460
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Yrjönen, T., Ylikoski, M., Schlenzka, D. et al. Effectiveness of the Providence nighttime bracing in adolescent idiopathic scoliosis: a comparative study of 36 female patients. Eur Spine J 15, 1139–1143 (2006). https://doi.org/10.1007/s00586-005-0049-9
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00586-005-0049-9