Spinal bracing for children with neuromuscular scoliosis

Neuromuscular scoliosis (NMS) is a prevalent deformity in patients with neuromuscular disorders (NMDs). It’s significantly distinct from idiopathic scoliosis in terms of severity, features, and progression. Treatment of this category is challenging due to the specific natural history and many medical issues related to the deformity. Bracing is required for this population under various clinical conditions to prevent trunk collapse, enhance sitting position, and preserve respiratory function. Its effectiveness in preventing curve progression is still debated, but its value is evident on several levels. The overall goal of this research is to review the role of braces in the management of this uncommon pathology and to raise many essential questions regarding their purpose, effectiveness, various types, and negative impacts of their use.