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Results 24 patients (13.6%) did not accept the protocol and chose surgery. 11 patients (6.25%) discontinued during the treatment. 136 patients (136 females and 18 males) can be studied statistically. Mean initial angulation is 45.4° (+-6.33); reducibility in plaster cast and brace is 50%. At follow up 2 years after weaning, angulation is 40.5° (+-13.1). 61 patients (45%) improved by more than 5°, 27 patients (20%) are stable, 48 (35%) are worsening by more than 5°. The results are worse in boys (57% failure). 21 patients were evaluated 10 years after weaning of the brace. Mean progression during this period is 5° (0.5°/year) identical to that of the general adult scoliotic population. The best results are obtained when the lower vertebra is L3 (89%); the worst when the lower vertebra is T12 (53%). The two significant predictors of failure of conservative treatment are: A prior treatment (p>0,05). Early onset scoliosis (EOS) and non-idiopathic scoliosis (p>0,01).

Prospective study of 136 adolescent scoliosis of more than 40° treated with the Lyon brace