Background: The thoracic curve degree greater than 45° leads to thoracic hyperkyphosis, and common treatment is orthosis treatment. The acceptance rate of orthosis depends on in-brace correction, compliance and patient`s quality of life. Purpose: We aimed to determine the comparison between in-brace correction, compliance and quality of life in Milwaukee group with Lyon group Methods: In this case-evidential study, we retrospectively analyzed data for 23 adolescents who worn Milwaukee brace (n=15) and Lyon brace (n=8). In brace correction was assessed by the comparison between Cobb angle before wearing brace and two months after wearing. Compliance was determined by the percentage of actual hours worn in accordance with the prescribed regimen. Quality of life profile for spine deformity questionnaire is used which shows the quality of life in spinal deformity and mental/psychological functions. Data normality was assessed by K-S. Other sampling methods, moreover, included T tests (pair T-test, in depended T-test). Results: We recruited 23 individuals with thoracic hyper kyphosis with 55 and 75 degree and aged between 10-17 years old. They were divided into two groups [Milwaukee group (n=15), mean age: 14 years old, and mean first Cobb angle: 67. 9 degree, and Lyon group (n=8), mean age: 13. 75 years old, and mean first Cobb angle: 61. 7 degree). No significant differences are found between in-brace correction of two groups (P=0. 073), while the compliance of participants who wore Lyon brace is better, and findings depicted significant differences between quality of life (P=0. 018), and quality of life was improved for Lyon groups. Conclusion: The finding indicates that the Lyon brace had less detrimental impacts on quality of life in comparison with the Milwaukee ones, take this into account, the compliance rate illuminates that Lyon brace is far more preferred, but surprisingly identical in-brace correction is achieved by both braces. Therefore, consideration and integration of significant factors in the treatment plane are capable to revolutionize the outcome correction.

Background: Serial casting under general anesthesia, which is considered as a gold standard of treatment for patients with infantile idiopathic scoliosis (IIS), can lead to significant negative neurodevelopmental effects. Therefore, the appropriateness of this type of treatment is controversial. brace treatment is one alternative method of treatment for IIS patients. However, long-term studies have not yet verified its effectiveness. Thus, the present study aimed to evaluate the effectiveness of brace treatment in patients with IIS until skeletal maturity or spinal fusion. Methods: The medical records of all IIS patients with the referral age of 0-3 years who received brace treatment from June 1986 to November 2013 were reviewed. Those patients with pre-brace Cobb angle > 20° were included and followed up to skeletal maturity or the time of spinal fusion. The Cobb angle was recorded at the time of diagnosis before the initiation of bracing, weaning time, brace discontinuation, and final follow-up. In addition, the maximum inbrace curve correction was measured. Results: Out of 87 patients with IIS, a total of 29 cases (19 males and 10 females) with the average curve magnitude of 35. 62° at the time of diagnosis were included in the study. The average best in-brace correction was 57. 32% for successfully treated patients and 36. 97% for progression/surgery patients. Based on the results, brace treatment failed for a total of 20 patients (69%), with a scoliosis curvature progress ≥ 45° . Of these patients, 12 cases (60%) reached spinal fusion. Finally, four patients (13%) in the surgery-treated group underwent surgery before the age of 10. Conclusion: The results revealed that bracing was successful for more than two-thirds of patients with IIS curves, preventing surgery before the age of 10.

Introduction Scoliosis is a musculoskeletal disorder that can be treated by wearing full-time and part-time braces. It is not yet well understood whether part-time braces, such as Providence nighttime braces, are as effective as full-time braces in managing scoliotic curves. The aim of the present review study was to investigate the effect of Providence nighttime brace on correcting scoliosis in patients with adolescent idiopathic scoliosis (AIS). Methods: The search was performed using the keywords Scoliosis, Adolescent Idiopathic Scoliosis, Cobb angle, Nighttime brace, Providence brace, and Orthosis in PubMed, Science Direct, and ISI Web of Knowledge databases. Findings: A total of 10 relevant articles published between 2000 to December 2019 were selected for the final review according to the inclusion and exclusion criteria. Six articles investigated the effect of Providence brace before and after bracing treatment on the idiopathic scoliosis. Three articles compared the effect of Providence braces with full-time braces [Boston and Thoracic lumbar sacral Orthosis (TLSO)] on idiopathic scoliosis. One article also compared Providence brace with Charleston nighttime bending brace. Conclusion: Providence brace is an effective treatment approach to prevent the progression of scoliotic curves. However, it should be emphasized that its maximum effect is seen on the lumbar and thoracic curves< 35° with lower apex.

Objectives: Scoliosis is a three-dimensional deformity of the spine that can be treated using various treatment approaches. The use of braces is one of the most commonly used treatment methods for controlling curve progression. This study aimed to evaluate the effectiveness of the Milwaukee brace (MB) in controlling scoliosis curve progression, based on available literature. Methods: This study was conducted using several databases, including ISI Web of Science, PubMed, Google Scholar, Ebsco, and Scopus. Some keywords, such as MB, were used in combination with Milwaukee orthosis and scoliosis. Down and Black tool evaluated the quality of the studies. Results: Based on the keywords, 18 papers were selected, including 11 on the efficiency of MB, three on psychological issues and quality of life (QoL), one on the combination of exercise and brace, and three on the comparison between braces. The quality of the studies ranged from 6 to 18. Various studies have shown that MB controls the progression of the curve in scoliosis deformity and influences the natural history of scoliosis. Discussion: The results of various studies confirmed that although MB controls the progression of scoliosis curve, it is not comparable with other available braces, which may be due to the mechanism of action. It is recommended that, due to the advantages of MB, a combination of transverse and traction forces be used to control and decrease scoliosis deformity.