{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:02:19Z","timestamp":1787022139048,"version":"build-2736575974"},"reference-count":21,"publisher":"Public Library of Science (PLoS)","issue":"4","license":[{"start":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T00:00:00Z","timestamp":1713225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Cross-sectional international survey with a literature review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>While some surgeons favor spine bracing after surgery for adult spine deformity (ASD) to help prevent mechanical failures, there is a lack of evidence. The objective of the present study was to better understand the current trend in the use of bracing following ASD surgery based on an international survey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An e-mail-based online survey was conducted among over 6000 international AO Spine members regarding the post-operative management of patients with ASD. The details of brace prescription, indications and influencing factors were solicited. Descriptive data were summarized based on different demographic groups and fusion levels for the responding surgeons who annually perform at least 10 long-segment fusions of &gt;5 levels extending to the pelvis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 116 responses were received, including 71 surgeons (61%) who used post-operative bracing for &gt;5 levels of long fusion. The most common reason for bracing was pain management (55%) and bone quality was the strongest influencing factor (69%). Asia-Pacific surgeons had the highest rate of bracing (88%), while North American surgeons had the lowest (45%). The most common type of brace used were TLSO for cases with an uppermost instrumented vertebra (UIV) in the low- or mid-thoracic spine and a cervical brace for UIV at T1-3. The majority (56%) used bracing for 6\u201312 weeks after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec005\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The present survey demonstrated significant interest in bracing following ASD surgery, however, there is substantial variability in post-operative bracing practice. A formal study on the role of bracing in ASD surgery is needed.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0297541","type":"journal-article","created":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T14:08:11Z","timestamp":1713276491000},"page":"e0297541","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":2,"title":["Post-operative bracing following adult spine deformity surgery: Results from the AO Spine surveillance of post-operative management of patients with adult spine deformity"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0835-2724","authenticated-orcid":true,"given":"So","family":"Kato","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin S.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Driesman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher I.","family":"Shaffrey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence G.","family":"Lenke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen J.","family":"Lewis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"AO Spine Knowledge Forum Deformity","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,4,16]]},"reference":[{"key":"pone.0297541.ref001","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.nec.2013.01.001","article-title":"Proximal junctional kyphosis and proximal junctional failure.","volume":"24","author":"RA Hart","year":"2013","journal-title":"Neurosurg Clin N Am"},{"key":"pone.0297541.ref002","doi-asserted-by":"crossref","first-page":"994","DOI":"10.3171\/2014.9.SPINE131176","article-title":"Prospective multicenter assessment of risk factors for rod fracture following surgery for adult spinal deformity","volume":"21","author":"JS Smith","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"pone.0297541.ref003","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1007\/s00586-018-5837-0","article-title":"Postoperative bracing after lumbar surgery: a survey amongst spinal surgeons in Belgium.","volume":"28","author":"L Bogaert","year":"2019","journal-title":"Eur Spine J"},{"key":"pone.0297541.ref004","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s00586-019-06202-y","article-title":"The efficacy of postoperative bracing after spine surgery for lumbar degenerative diseases: a systematic review","volume":"29","author":"D Nasi","year":"2020","journal-title":"Eur Spine J"},{"key":"pone.0297541.ref005","doi-asserted-by":"crossref","first-page":"2062","DOI":"10.2106\/JBJS.G.01093","article-title":"Use of a postoperative lumbar corset after lumbar spinal arthrodesis for degenerative conditions of the spine. 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Part 14: brace therapy as an adjunct to or substitute for lumbar fusion","volume":"21","author":"AT Dailey","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"pone.0297541.ref015","doi-asserted-by":"crossref","first-page":"481","DOI":"10.3171\/2017.8.SPINE17370","article-title":"Usefulness of corset adoption after single-level lumbar discectomy: a randomized controlled trial","volume":"28","author":"C Zoia","year":"2018","journal-title":"J Neurosurg Spine"},{"key":"pone.0297541.ref016","first-page":"753","article-title":"Lower spinal mobility and external immobilization in the normal and pathologic condition.","volume":"21","author":"RA Miller","year":"1992","journal-title":"Orthop Rev"},{"key":"pone.0297541.ref017","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1097\/01.BRS.0000103945.75275.56","article-title":"Lumbar spine stabilization with a thoracolumbosacral orthosis: evaluation with video fluoroscopy.","volume":"29","author":"D Vander Kooi","year":"2004","journal-title":"Spine (Phila Pa 1976)."},{"key":"pone.0297541.ref018","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/S0268-0033(98)00056-4","article-title":"Braces do not reduce loads on internal spinal fixation devices.","volume":"14","author":"A Rohlmann","year":"1999","journal-title":"Clin Biomech (Bristol, Avon)."},{"key":"pone.0297541.ref019","doi-asserted-by":"crossref","first-page":"e019596","DOI":"10.1136\/bmjopen-2017-019596","article-title":"Is postoperative bracing after pedicle screw fixation of spine fractures necessary? Study protocol of the ORNOT study: a randomised controlled multicentre trial","volume":"8","author":"AJ Smits","year":"2018","journal-title":"BMJ Open"},{"key":"pone.0297541.ref020","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jocn.2016.02.001","article-title":"Clinical outcomes following sublaminar decompression and instrumented fusion for lumbar degenerative spinal pathology.","volume":"30","author":"K Peddada","year":"2016","journal-title":"J Clin Neurosci"},{"key":"pone.0297541.ref021","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1111\/j.1753-6405.2012.00854.x","article-title":"In the 21st Century, what is an acceptable response rate?","volume":"36","author":"SM Morton","year":"2012","journal-title":"Aust N Z J Public Health"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0297541","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,16]],"date-time":"2024-04-16T14:08:21Z","timestamp":1713276501000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0297541"}},"subtitle":[],"editor":[{"given":"Mohammadreza","family":"Pourahmadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,4,16]]},"references-count":21,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2024,4,16]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0297541","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,16]]}}}