Cochrane · systematic review · CD006850

Braces for idiopathic scoliosis in adolescents

Negrini, S, Minozzi, S, Bettany‐Saltikov, J, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 9 · 56.3%Very low 5 · 31.3%Low 2 · 12.5%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Brace compared with observation (randomized controlled trial) for idiopathic scoliosis in adolescents

Population: adolescents with idiopathic scoliosis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quality of life PedsQL scores1
Brace vs observation (randomized controlled trial)
no estimate extracted1 study · 111 participantsVery low
Downgraded: risk of bias, imprecision
Risk of success Curves remaining below 50°
Brace vs observation (randomized controlled trial)
RR 1.79 [1.29, 2.5]1 study · 116 participantsLow
Downgraded: imprecision
Pulmonary disorders, disability, back pain, psychological issues, and cosmetic issues Subjective
Brace vs observation (randomized controlled trial)
no estimate extracted0 studies · 0 participantsUngraded
Any adverse event Number of participants reporting at least 1 adverse event
Brace vs observation (randomized controlled trial)
no estimate extracted0 studies · 0 participantsUngraded

Bracing compared with observation (cohort studies) for idiopathic scoliosis in adolescents

Population: adolescents with idiopathic scoliosis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quality of life PedsQL score1
Bracing vs observation (cohort studies)
no estimate extracted1 study · 236 participantsVery low
Risk of success curves remaining below 50°
Bracing vs observation (cohort studies)
RR 1.5 [1.19, 1.89]1 study · 242 participantsVery low
Any adverse event number of participants with at least 1 adverse event
Bracing vs observation (cohort studies)
RR 1.27 [0.96, 1.67]1 study · 242 participantsVery low
Pulmonary disorders, disability, back pain, psychological issues, and cosmetic issues subjective or objective
Bracing vs observation (cohort studies)
no estimate extracted0 studies · 0 participantsUngraded

Brace and exercise compared with observation in high degree curves (cohort study) for idiopathic scoliosis in adolescents

Population: adolescents with idiopathic scoliosis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quality of life
Brace and exercise vs observation
no estimate extracted0 studies · 0 participantsUngraded
Risk of success no progression over 50°, no fusion, no waiting list for fusion
Brace and exercise vs observation
RR 1.79 [1.04, 3.07]1 study · 57 participantsVery low
Downgraded: imprecision
Any adverse event number of participants with at least 1 adverse event
Brace and exercise vs observation
no estimate extracted0 studies · 0 participantsUngraded
Pulmonary disorders, disability, back pain, psychological issues, and cosmetic issues subjective or objective
Brace and exercise vs observation
no estimate extracted0 studies · 0 participantsUngraded

Rigid versus elastic brace (randomized controlled trial) for idiopathic scoliosis in adolescents

Population: adolescents with idiopathic scoliosis
4 questions
OutcomeEffectEvidenceStatus / GRADE
Quality of life
Rigid vs elastic brace (randomized controlled trial)
no estimate extracted0 studies · 0 participantsUngraded
Risk of success curves remaining below 50°
Rigid vs elastic brace (randomized controlled trial)
RR 1.4 [1.03, 1.89]1 study · 43 participantsLow
Downgraded: imprecision
Any adverse event number of participants with at least 1 adverse event
Rigid vs elastic brace (randomized controlled trial)
no estimate extracted0 studies · 0 participantsUngraded
Pulmonary disorders, disability, back pain, psychological issues, and cosmetic issues subjective or objective
Rigid vs elastic brace (randomized controlled trial)
no estimate extracted0 studies · 0 participantsUngraded