Displaying items by tag: spinal bracing

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What are the benefits of scoliosis bracing?  Well, there don't seem to be any considering the conclusions of the studies and orthopedic experts below.....

 

A 2007 article in SPINE by Drs. Dorlan and Weinstein studied the effect of rigid bracing vs. observation on surgical rates. Here is an excerpt from the abstract....the review of literature was based on 18 total studies (15 bracing and 3 observation)

 

"Observation only or bracing showed no clear advantage of either approach. Furthermore one can not recommend one approach over another to prevent surgery. They gave the recommendation for bracing a grade "D" relative to observation only because of "troublingly inconsistent or inconclusive studies on any level."

 

Compare/contrast the treatment gains (statistically insignificant) vs the costs (considerable financial and long-term psychological scaring) and it makes me wonder why spinal bracing is even still recommended for scoliosis treatment.

 

Adolescent idiopathic scoliosis: the effect of brace treatment on the incidence of surgery. Spine 2001 Jan 1;26(1)42-7 Children’s Research Center, Dublin, Ireland

 

"Since 1991, bracing has not been recommended for children with AIS at this center."


"If bracing does not reduce the proportion of children with AIS who require surgery for cosmetic improvement of their deformity, it cannot be said to provide a meaningful advantage to the patient or the community."

 

Furthermore, Dr. Ian Stokes' rat tail research is now demonstrating that full time scoliosis bracing creates a permanent deformity of the spinal disc wedge which actually causes an increased likelihood of curve progression in adolescence and adulthood.  Scoliosis brace treatment is contra-indicated in my opinion.