The Effect of the Risser Stage on Bracing Outcome in Adolescent Idiopathic Scoliosis

Conclusions: Patients at Risser stage 0 are at risk for surgery despite brace wear. In these patients, 12.9 hours of daily wear—the number of hours linked with a successful outcome in the BRAIST (Bracing in Adolescent Idiopathic Scoliosis Trial)—did not prevent surgery. Patients with open triradiate cartilage were at highest risk, especially those with curves of ≥30°. Risser stage-0 patients should be prescribed a minimum of 18 hours of brace wear. Bracing should be initiated for curves of <30° in patients at Risser stage 0, especially those with open triradiate cartilage. Level of Evidence: Prognostic Level II. See Instructions for Authors for a complete description of levels of evidence.

http://jbjs.org/cgi/content/short/98/15/1253?rss=1

Source: JBJS - August 2, 2016 Category: Orthopaedics Authors: Karol, L. A., Virostek, D., Felton, K., Jo, C., Butler, L. Tags: Pediatrics, Spine Scientific Articles Source Type: research