Scoliosis successful management of diseases causing spinal deformity, many patients suffered from scoliosis with no known cause. The unknown cause was eventually determined to be idiopathic scoliosis. Alfred Shands Jr., an orthopedic surgeon, discovered that two percent of patients had non-disease related scoliosis. Idiopathic scoliosis, also known as the "cancer of orthopedic surgery", was determined to be dangerous because there was no current treatment. The condition needed to be detected in patients promptly so treatment could be developed in time to halt its progression. As a result, schools made it mandatory for students to have screenings for scoliosis. Early on, set
Management of scoliosis of bracing has not been definitively demonstrated in randomised clinical studies, with more limited studies giving inconsistent conclusions. In 2013 the Bracing in Adolescent Idiopathic Scoliosis Trial (BrAIST) published results establishing benefits of bracing in adolescents with idiopathic scoliosis. In the randomized cohort, 72% in the group instructed to wear a brace for 18 hours per day against 48% in the observation group sustained curve progression to under 50 degrees, the proxy used for not requiring surgery. Additionally results suggested that the more a patient wore the brace, the better the result. In progressive infantile and sometimes juvenile scoliosis, a