Neuromechanics of idiopathic scoliosis brace and because after spinal arthrodesis surgery, idiopathic scoliotic people showed a significant decrease in paravertebral muscle activity on the convex side but not on the concave side, the muscular asymmetry in idiopathic scoliosis is thought to be a biomechanical consequence of the scoliotic curvature rather than its cause. Since idiopathic scoliosis and its surgery affect the vertebrae and the joints along the spine, the range of motion is expected to be different between patients and non-scoliotic people. There is a hypothesis that states that the vertebral column behaves like a torsional spring: while walking, the angular momentum of the
Management of scoliosis be braced. However, these are guidelines and not every patient will fit into this table. For example, an immature patient with a 17-degree Cobb angle and significant thoracic rotation or flatback could be considered for nighttime bracing. On the opposite end of the growth spectrum, a 29-degree Cobb angle and a Risser sign three or four might not need to be braced because there is reduced potential for progression. Surgery is indicated by the Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) at 45 degrees to 50 degrees and by the Scoliosis Research Society (SRS) at a Cobb angle of