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Related Experiment Video

Updated: Jun 16, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
07:12

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis

Published on: February 10, 2026

Identifying Risk Factors Associated with Providence Bracing Failure: Demographic and Radiographic Characteristics.

Jacob D Kodra1, Xue-Cheng Liu1, John G Thometz1

  • 1Department of Orthopaedic Surgery, Children's Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.

Studies in Health Technology and Informatics
|June 15, 2026
PubMed
Summary
This summary is machine-generated.

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Providence brace (PNB) treatment for scoliosis often fails due to initial curve severity and reduced nightly wear. Factors like higher Cobb angles and apical vertebral rotation predict PNB failure, impacting treatment success.

Area of Science:

  • Orthopedics
  • Spinal Surgery
  • Pediatric Orthopedics

Background:

  • The Providence brace (PNB) is a common treatment for mild to moderate scoliosis.
  • Limited literature exists on radiographic variables predicting PNB failure.

Purpose of the Study:

  • To investigate demographic and radiographic factors associated with failed Providence brace (PNB) treatment in idiopathic scoliosis.
  • Identify predictors of PNB treatment failure.

Main Methods:

  • Retrospective cohort study of idiopathic scoliosis patients (7-17 years) treated with PNB (2012-2024).
  • Exclusion criteria included prior treatment, trauma, non-idiopathic scoliosis, and specific curve locations.
  • Treatment failure defined by curve progression, magnitude, surgery recommendation, brace switching, or non-compliance.
Keywords:
Providencebracedemographicidiopathic scoliosisradiograph

Related Experiment Videos

Last Updated: Jun 16, 2026

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis
07:12

Clinical Efficacy of an Innovative Multidimensional Traction Therapy in Moderate Adolescent Idiopathic Scoliosis

Published on: February 10, 2026

Main Results:

  • 35.44% of 158 patients experienced PNB treatment failure.
  • Failure causes included curve progression (55%), total curve magnitude (14%), brace switching (28%), and surgery recommendation (13%).
  • Higher initial out-of-brace (OOB) Cobb angles, greater initial apical vertebral rotation (AVR), and fewer nightly brace hours were significantly associated with failure (p<0.05).

Conclusions:

  • Providence brace (PNB) outcomes are multifactorial.
  • Initial OOB Cobb angle, initial AVR, and reduced nightly brace wear are key predictors of PNB failure.
  • These factors are crucial for optimizing scoliosis bracing strategies.