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Table 4 Basic characteristics of the included studies

From: Associations between spinal flexibility and bracing outcomes in adolescent idiopathic scoliosis: a literature review

References

Country

Study type

Subjects, Age(mean years), Sex

Risser

Initial Cobb (°)

Curve type/pattern

Type of brace

Duration of brace

Follow-up duration

Outcomes

Definition of outcomes

Cheung [30]

HK

R

586AIS,12.6, 79M, 507F

0–2

30.9

249T, 337L

Underarm brace

NA

NA

Curve progression

The post-brace Cobb angle with > 5° increase from the pre-brace Cobb angle

Cheung [14]

HK

R

105AIS,12.2, 8M, 97F

0–3

31.7

72D, 33S

Underarm brace

NA

NA

In-brace Cobb

Cobb angle obtained from the in-brace radiograph when the patient wears the brace for 2 weeks

He [15]

HK

P

35AIS, 12, 3M, 32F

0–2

28

32D, 3S

HK orthoses

NA

NA

Initial in-brace correction

(Angle X-ray standing − Angle X-ray in-orthosis)/Angle X-ray standing

He [33]

HK

P

22AIS, 12, 2M, 20F

0–2

28.1

21D, 1S

HK orthoses

NA

NA

In-brace curvature

Curvature angle obtained from the in-brace radiographs and ultrasound imaging when the patient wears the brace for 2–3 weeks

Ohrt-Nissen [31]

Denmark

R

63AIS, 13.3, 3M, 60F

0–2

34

37T, 12TL, 5L, 9DM

Providence brace

26 months

2 years

Curve progression

Progression of ≥ 6°at skeletal maturity

Ohrt-Nissen [32]

Denmark

R

127AIS, 13.6, 14M, 113F

NA

35

67T, 27TL, 10L, 23DM

Providence brace

NA

NA

Initial in-brace Cobb

Cobb angle on initial in-brace radiograph

Wong [28]

HK

P

207AIS, 12.8, 35M, 172F

0–5

31.7

110T, 97L

Boston or Milwaukee bracing

NA

NA

Curve progression

An increase in major curve Cobb angle > 5° on the outcome radiograph compared to baseline, or the incidence of surgery

Kuroki [34]

Japan

R

31AIS, 12, 2M, 29F

0–2

27.3

4T, 4TL, 12L, 7DM, 1DT, 3TM

(OMC) brace

4 years and 8 months

During brace wear: 3 years and 4 months; Post-brace weaning: 1 year and 4 months

Curve progression

Increase of the Cobb angle by 6° or more, progression beyond the Cobb angle of 45° who were considered candidates for surgery

Cheung [6]

HK

R

586AIS, 12.6, 79M, 507F

0–2

31

251T, 335TL/L

Underarm TLSO brace

3.8 years

2.0 years

Curve regression; Curve progression

Curve regression: at least 5° reduction in the Cobb angle; Curve progression: at least 5° increase in the Cobb angle

Kawasaki [36]

Japan

R

133AIS, 12.2, 21M, 112F

0–2

31.9

62T, 28TL, 43 double/triple curves

Underarm TLSO brace

1.7 years

NA

Curve progression

Cobb angle > 6° identified from out-of-brace radiographs

Strube [17]

Germany

R

127AIS,13.1, 17M, 110F

0–2

28(median)

23D, 104S

Chêneau brace

2.1 years

NA

Failure and success

Failure: progression of curve to ≥ 45° or surgery needed during or after treatment or weaning up until the time of data acquisition; Success: progression of curve to < 45°, no surgery

Falbo [16]

USA

P

17AIS, 11.82, NA

0–3

27.63

14D, 3S

TLSO

NA

NA

In-brace correction

NA

Kwan [29]

HK

P

46AIS, 12.1, 4M, 42F

0–2

30

15T, 31TL

TLSO

NA

3.2 years

Curve progression

Cobb angle worsened by ≥ 6° or reached the threshold for surgical treatment at a minimum of 2 years of bracing or the time of the latest follow-up

Kuroki [35]

Japan

P

176AIS, 13.1, 14M, 162F

0–5

31

62T, 23TL, 22L, 14DT, 42DM, 13TM

OMC brace

NA

NA

Initial brace Cobb angle

NA

  1. R Retrospective; P Prospective; M Male; F Female; HK Hong Kong; OMC Osaka Medical College; T Thoracic major curve; L Lumbar major curve; TL Thoracolumbar major curve; D Double curves; S Single curve; DT Double thoracic; DM Double major; TM Triple major; NA Not available