{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:01:07Z","timestamp":1791907267762,"version":"4.3.4"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"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":["J Med Case Reports"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The recommended treatment for mild to moderate infantile idiopathic scoliosis curves involves serial casting. There are concerns, however, regarding the safety of repeated casting in very young children owing to the requirement for anesthetization during the casting process. Very little research has been conducted on the influence of bracing as an initial treatment for scoliosis in this age group. This report details the successful treatment of a large thoracic curve using a thoracolumbosacral orthosis in an infant diagnosed with infantile idiopathic scoliosis.\n<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>The Dutch-Australian patient presented at 11\u00a0weeks of age with a 44\u00b0 thoracic scoliosis and a rib vertebral angle difference of 14\u00b0. The history and physical examination failed to reveal a cause of the curvature, and a diagnosis of infantile idiopathic scoliosis was made. The patient was prescribed a thoracolumbosacral orthosis (<jats:italic>ScoliBrace<\/jats:italic>) to be worn on a part-time basis for a period of 8\u00a0months. At the end of the bracing program, the patient\u2019s curve had been reduced to 7\u00b0 and a rib\u2013vertebral angle difference of 0\u00b0. A final follow-up of the patient at 2\u00a0years after the cessation of treatment revealed no evidence of scoliosis. The parents were compliant with the bracing protocol and reported that the treatment was tolerated by the infant.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The use of an orthosis as a standalone treatment in this patient resulted in significant reduction in a large thoracic scoliosis. Based on the results witnessed in this patient, further investigation into bracing as an alternative to casting is warranted.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13256-021-03168-8","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T12:05:59Z","timestamp":1641384359000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Treatment of infantile idiopathic scoliosis using a novel thoracolumbosacral orthosis: a case report"],"prefix":"10.1186","volume":"16","author":[{"given":"Jeb.","family":"McAviney","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3064-8815","authenticated-orcid":false,"given":"Benjamin T.","family":"Brown","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"issue":"1","key":"3168_CR1","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1302\/0301-620X.36B1.36","volume":"36-b","author":"JI James","year":"1954","unstructured":"James JI. Idiopathic scoliosis; the prognosis, diagnosis, and operative indications related to curve patterns and the age at onset. J Bone Joint Surg Br. 1954;36-b(1):36\u201349.","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"3168_CR2","doi-asserted-by":"publisher","first-page":"400","DOI":"10.1302\/0301-620X.37B3.400","volume":"37","author":"JC Scott","year":"1955","unstructured":"Scott JC, Morgan TH. The natural history and prognosis of infantile idiopathic scoliosis. J Bone Joint Surg Br. 1955;37(3):400\u201313.","journal-title":"J Bone Joint Surg Br"},{"issue":"1","key":"3168_CR3","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1302\/0301-620X.50B1.24","volume":"50","author":"R Wynne-Davies","year":"1968","unstructured":"Wynne-Davies R. Familial (idiopathic) scoliosis. A family survey. J Bone Joint Surg Br. 1968;50(1):24\u201330.","journal-title":"J Bone Joint Surg Br"},{"issue":"5","key":"3168_CR4","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1302\/0301-620X.65B5.6643567","volume":"65","author":"MJ McMaster","year":"1983","unstructured":"McMaster MJ. Infantile idiopathic scoliosis: can it be prevented? J Bone Joint Surg Br. 1983;65(5):612\u20137.","journal-title":"J Bone Joint Surg Br"},{"issue":"6","key":"3168_CR5","first-page":"554","volume":"21","author":"AM Al-Arjani","year":"2000","unstructured":"Al-Arjani AM, Al-Sebai MW, Al-Khawashki HM, Saadeddin MF. Epidemiological patterns of scoliosis in a spinal center in Saudi Arabia. Saudi Med J. 2000;21(6):554\u20137.","journal-title":"Saudi Med J"},{"issue":"15","key":"3168_CR6","first-page":"2750","volume":"19","author":"AM Alsiddiky","year":"2015","unstructured":"Alsiddiky AM. An insight into early onset of scoliosis: new update information\u2014a review. Eur Rev Med Pharm Sci. 2015;19(15):2750\u201365.","journal-title":"Eur Rev Med Pharm Sci"},{"issue":"2","key":"3168_CR7","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1302\/0301-620X.62B2.7364824","volume":"62","author":"SK Thompson","year":"1980","unstructured":"Thompson SK, Bentley G. Prognosis in infantile idiopathic scoliosis. J Bone Joint Surg Series B. 1980;62(2):151\u20134.","journal-title":"J Bone Joint Surg Series B"},{"issue":"9","key":"3168_CR8","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.1302\/0301-620X.87B9.16124","volume":"87","author":"MH Mehta","year":"2005","unstructured":"Mehta MH. Growth as a corrective force in the early treatment of progressive infantile scoliosis. J Bone Joint Surg Series B. 2005;87(9):1237\u201347.","journal-title":"J Bone Joint Surg Series B"},{"issue":"7","key":"3168_CR9","doi-asserted-by":"publisher","first-page":"647","DOI":"10.1097\/BPO.0b013e3182694f18","volume":"32","author":"JE Tis","year":"2012","unstructured":"Tis JE, Karlin LI, Akbarnia BA, Blakemore LC, Thompson GH, McCarthy RE, et\u00a0al. Early onset scoliosis: modern treatment and results. J Pediatr Orthop. 2012;32(7):647\u201357.","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"3168_CR10","doi-asserted-by":"publisher","first-page":"477","DOI":"10.1016\/j.ocl.2007.03.006","volume":"38","author":"JL D'Astous","year":"2007","unstructured":"D\u2019Astous JL, Sanders JO. Casting and traction treatment methods for scoliosis. Ortho Clinics North Am. 2007;38(4):477\u201384.","journal-title":"Ortho Clinics North Am"},{"key":"3168_CR11","unstructured":"Federal Drug Aadministration, FDA Drug Safety Communication: FDA approves label changes for use of general anesthetic and sedation drugs in young children, U.S.F.a.D. Administration, Editor. 2016, U.S. Department of Health and Human Services: Maryland."},{"issue":"3","key":"3168_CR12","doi-asserted-by":"publisher","first-page":"343","DOI":"10.2217\/phe.10.24","volume":"4","author":"UK Debnath","year":"2010","unstructured":"Debnath UK. Current concepts in the management of early-onset idiopathic scoliosis. Pediatr Health. 2010;4(3):343\u201354.","journal-title":"Pediatr Health"},{"issue":"1","key":"3168_CR13","first-page":"3","volume":"11","author":"JR Smith","year":"2009","unstructured":"Smith JR, Samdani AF, Pahys J, Ranade A, Asghar J, Cahill P, et\u00a0al. The role of bracing, casting, and vertical expandable prosthetic titanium rib for the treatment of infantile idiopathic scoliosis: a single-institution experience with 31 consecutive patients\u2014clinical article. J Neurosurg: Spine. 2009;11(1):3\u20138.","journal-title":"J Neurosurg: Spine"},{"issue":"23","key":"3168_CR14","doi-asserted-by":"publisher","first-page":"1813","DOI":"10.1097\/BRS.0000000000001887","volume":"41","author":"S Negrini","year":"2016","unstructured":"Negrini S, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Grivas TB, et\u00a0al. Braces for idiopathic scoliosis in adolescents. Spine. 2016;41(23):1813\u201325.","journal-title":"Spine"},{"key":"3168_CR15","unstructured":"Surgimap. 2017 [cited 2017 15\/12\/17]; Available from: https:\/\/www.surgimap.com\/."},{"issue":"2","key":"3168_CR16","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1302\/0301-620X.54B2.230","volume":"54","author":"MH Mehta","year":"1972","unstructured":"Mehta MH. The rib-vertebra angle in the early diagnosis between resolving and progressive infantile scoliosis. J Bone Joint Surg Br. 1972;54(2):230\u201343.","journal-title":"J Bone Joint Surg Br"},{"issue":"6","key":"3168_CR17","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1054\/cuor.2002.0232","volume":"5","author":"RA Buxton","year":"2001","unstructured":"Buxton RA. The moulded baby syndrome. Curr Orthop. 2001;5(6):439\u201343.","journal-title":"Curr Orthop"},{"issue":"5","key":"3168_CR18","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1007\/s00431-008-0806-y","volume":"168","author":"AS Rubio","year":"2009","unstructured":"Rubio AS, Griffet JR, Caci H, B\u00e9rard E, El Hayek T, Boutt\u00e9 P. The moulded baby syndrome: incidence and risk factors regarding 1,001 neonates. Euro J Pediatr. 2009;168(5):605\u201311.","journal-title":"Euro J Pediatr."},{"issue":"6","key":"3168_CR19","doi-asserted-by":"publisher","first-page":"979","DOI":"10.1016\/j.spinee.2017.10.012","volume":"18","author":"RC Brink","year":"2017","unstructured":"Brink RC, Wijdicks SPJ, Tromp IN, Schl\u00f6sser TPC, Kruyt MC, Beek FJA, et\u00a0al. A reliability and validity study for different coronal angles using ultrasound imaging in adolescent idiopathic scoliosis. Spine J. 2017;18(6):979\u201385.","journal-title":"Spine J"},{"issue":"1","key":"3168_CR20","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1186\/s13013-016-0074-y","volume":"11","author":"YP Zheng","year":"2016","unstructured":"Zheng YP, Lee TT, Lai KK, Yip BH, Zhou GQ, Jiang WW, et\u00a0al. A reliability and validity study for Scolioscan: a radiation-free scoliosis assessment system using 3D ultrasound imaging. Scoliosis Spinal Disord. 2016;11(1):13.","journal-title":"Scoliosis Spinal Disord."},{"key":"3168_CR21","doi-asserted-by":"publisher","first-page":"520","DOI":"10.1302\/0301-620X.47B3.520","volume":"47","author":"GC Lloyd-Roberts","year":"1965","unstructured":"Lloyd-Roberts GC, Pilcher MF. Structural idiopathic scoliosis in infancy: a study of the natural history of 100 patients. J Bone Joint Surg Br. 1965;47:520\u20133.","journal-title":"J Bone Joint Surg Br"},{"issue":"8","key":"3168_CR22","doi-asserted-by":"publisher","first-page":"e625","DOI":"10.1097\/BPO.0000000000001006","volume":"37","author":"JA Gomez","year":"2017","unstructured":"Gomez JA, Grzywna A, Miller PE, Karlin LI, Garg S, Sanders JO, et\u00a0al. Initial cast correction as a predictor of treatment outcome success for infantile idiopathic scoliosis. J Pediatr Orthop. 2017;37(8):e625\u201330.","journal-title":"J Pediatr Orthop"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-03168-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-021-03168-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-021-03168-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T11:07:01Z","timestamp":1670238421000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-021-03168-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,5]]},"references-count":22,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["3168"],"URL":"https:\/\/doi.org\/10.1186\/s13256-021-03168-8","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1,5]]},"assertion":[{"value":"10 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 October 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 January 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Macquarie University human ethics committee provided approval for the publication and presentation of this case study. Reference number: 5201831724218.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient\u2019s parent for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"JM is the owner and director of ScoliCare, a company that provides treatment and educational products for practitioners, and patients with scoliosis. JM is the creator of the <i>ScoliBrace<\/i> orthosis. BTB is a paid employee of ScoliCare. There are no other conflicts of interest declared.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"20"}}