{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:01:09Z","timestamp":1791907269008,"version":"4.3.4"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:00:00Z","timestamp":1658188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:00:00Z","timestamp":1658188800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Spine Deform"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Juvenile idiopathic scoliosis (JIS) outcomes with brace treatment are limited with poorly described bracing protocols. Between 49 and 100% of children with JIS will progress to surgery, however, young age, long follow-up, and varying treatment methods make studying this population difficult. The purpose of this study is to report the outcomes of bracing in JIS treated with a Boston brace\u2122 and identify risk factors for progression and surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This is a single-center retrospective review of 175 patients with JIS who initiated brace treatment between the age of 4 and 9\u00a0years. A cohort of 140 children reached skeletal maturity; 91 children had surgery or at least 2\u00a0year follow-up after brace completion. Standard in-brace protocol for scoliosis\n                      <jats:sup>3<\/jats:sup>\n                      20\u00b0 was a Boston brace for 18\u201320\u00a0h\/day after MRI (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200982). Family history, MRI abnormalities, comorbidities, curve type, curve magnitude, bracing duration, number of braces, compliance by report, and surgical interventions were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Children were average 7.9\u00a0years old (range 4.1\u20139.8) at the initiation of bracing. The Boston brace\u2122 was prescribed in 82 patients and nine used night bending brace. Mid-thoracic curves (53%) was the most frequent deformity. Maximum curve at presentation was on average 30\u2009\u00b1\u20099 degrees, in-brace curve angle was 16\u2009\u00b1\u20098 degrees, and in-brace correction was 58\u2009\u00b1\u200924 percent. Patients were braced an average of 4.6\u2009\u00b1\u20091.9\u00a0years. 61\/91 (67%) went on to posterior spinal fusion at 13.3\u2009\u00b1\u20092.1 (range 9.3\u201320.9) years and curve magnitude of 61\u2009\u00b1\u200912 degrees. Of those that underwent surgery, 49\/55 (86%) progressed\u2009&gt;\u200910\u00b0, 6\/55 (11%) stabilized within 10\u00b0, and 0\/55 (0%) improved\u2009&gt;\u200910\u00b0 with brace wear. No children underwent growth-friendly posterior instrumentation. Of the 28 who did not have surgical correction, 3 (11%) progressed\u2009&gt;\u200910\u00b0, 13\/28 (46%) stabilized within 10\u00b0, and 12\/28 (43%) improved\u2009&gt;\u200910\u00b0 with brace wear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This large series of JIS patients with bracing followed to skeletal maturity with long-term follow-up. Surgery was avoided in 33% of children with minimal to no progression, and no child underwent posterior growth-friendly constructs. Risk factors of needing surgery were noncompliance and larger curves at presentation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s43390-022-00544-2","type":"journal-article","created":{"date-parts":[[2022,7,19]],"date-time":"2022-07-19T00:02:47Z","timestamp":1658188967000},"page":"1349-1358","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Bracing for juvenile idiopathic scoliosis: retrospective review from bracing to skeletal maturity"],"prefix":"10.1007","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3360-2609","authenticated-orcid":false,"given":"Amanda T.","family":"Whitaker","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Timothy","family":"Hresko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia E.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bram P.","family":"Verhofste","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Beling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John B.","family":"Emans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence I.","family":"Karlin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel J.","family":"Hedequist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael P.","family":"Glotzbecker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,7,19]]},"reference":[{"issue":"2","key":"544_CR1","doi-asserted-by":"publisher","first-page":"381","DOI":"10.2106\/00004623-195032020-00017","volume":"32A","author":"IV Ponseti","year":"1950","unstructured":"Ponseti IV, Friedman B (1950) Prognosis in idiopathic scoliosis. 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