Article: A Dangerous Curve: Impact of the COVID-19 Pandemic on Brace Treatment in Adolescent Idiopathic Scoliosis.
2022 Volume 14, Issue 2, Page(s) 513–518
Abstract: Study design: Observational Cohort study.: Objectives: We aim to document the abandon and irregular compliance rate towards brace treatment during the COVID-19 pandemic and its impact on AIS progression.: Methods: We reviewed a database of AIS ... ...
Abstract | Study design: Observational Cohort study. Objectives: We aim to document the abandon and irregular compliance rate towards brace treatment during the COVID-19 pandemic and its impact on AIS progression. Methods: We reviewed a database of AIS patients recruited between March and September 2020. We included AIS patients under brace treatment according to SRS criteria. The patients were divided in 2 cohorts: those with self-reported Good-Compliance (GC) to treatment and those who had a Bad-Compliance (BC). Data analysis included biometric and radiographic data at first visit and last follow-up and percentage of progression. Unpaired student-t tests and Chi Results: 152 patients met inclusion criteria. 89 patients (age:12.1y.o.±1.4) reported good adherence to treatment, while 63 patients (age:12.7y.o.±1.8) were not compliant. Within the BC group, 18 patients reported irregular brace wear, while 45 had completely abandoned treatment (abandon rate of 29%). The GC cohort started treatment with a mean main thoracic (MT) curve of 26° and finished with 27°. The mean difference between measurements was +.65°±7.5; mean progression rate was - Conclusion: The abandon rate of brace treatment in AIS significantly increased during the first wave of COVID-19 pandemic. Patients who voluntarily discontinued treatment had significant increases in curve progression and surgical indication rates. Level of evidence: III. |
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Language | English |
Publishing date | 2022-07-11 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 2648287-3 |
ISSN | 2192-5690 ; 2192-5682 |
ISSN (online) | 2192-5690 |
ISSN | 2192-5682 |
DOI | 10.1177/21925682221113487 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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