The Effect of the Risser Stage on Bracing Outcome in Adolescent Idiopathic Scoliosis

Lori A. Karol, Donald Virostek, Kevin Felton, ChanHee Jo, Lesley Butler
2016 Journal of Bone and Joint Surgery. American volume  
To determine the influence of the Risser sign on the need for surgery in children wearing orthoses for the treatment of adolescent idiopathic scoliosis (AIS), data on compliance with brace wear were collected and analyzed. Methods: One hundred and sixty-eight patients were prospectively enrolled at the time that brace wear had been prescribed and were followed until the cessation of bracing or the need for surgery. Inclusion criteria were a curve magnitude between 25°and 45°; a Risser stage of
more » ... , 1, or 2; and, if female, <1 year post menarche at the time of brace prescription. Compliance was measured using thermal monitors. Results: The prevalence of surgery, or progression to a curve magnitude of ‡50°, was 44.2% for patients at Risser stage
doi:10.2106/jbjs.15.01313 pmid:27489315 fatcat:4crdvuspybdhxk4q53oyl43k2a