Volume 4 Supplement 2

6th International Conference on Conservative Management of Spinal Deformities

Open Access

Treatment of the congenital scoliosis by Cheneau brace: 2 year follow-up

Scoliosis20094(Suppl 2):O45

DOI: 10.1186/1748-7161-4-S2-O45

Published: 14 December 2009

Background

The treatment of congenital spinal deformities is a real challenge. The modern standard of treatment includes surgical interventions intended to correct or fuse the spine. In some cases, such an approach is impossible because of severe comorbidities. We hypothesized that a Cheneau brace might be effective in young patients with congenital spinal deformity. This paper is a continuation of our previous study.

Objective

The objective of this study was to study Cheneau brace treatment results in patients with congenital spinal deformities during 2-years follow-up.

Materials and methods

We investigated 7 patients with congenital formation failure. 2 patients had wedge vertebra, and 5 patients had hemivertebra. They were treated utilitizing the Cheneau brace from 2007 to 2009. The mean age at the beginning of treatment was 5.6 years (range 2-9 years). A full-time regimen was prescribed for all the patients.

Outcome

We observed a significant improvement of Cobb angle, wedge angle, and Cheneau index after 1 year of bracing treatment. After 2 years, radiographic data did not change dramatically, but slightly improved (Table 1).
Table 1

Analyzed data during follow-up

X-ray data

 

Cobb angle

  

Cheneau index

  

Wedge angle

 

Pts

Before treatment

1 year

2 year

Before treatment

1 year

2 year

Before treatment

1 year

2 year

1.WV

30

12

8

23.2

17.8

12.6

20

10

8

2.WV

24

18

10

39

31

16.1

23

21

10

3.WHV

20

8

2

42.3

27.3

18.35

24

15

11

4 WHV

23

19

18

40.5

40.3

23.51

30

24

14

5WHV

15

10

10

31.21

15.6

16

30

22

23

6WHV

69

54

54

-

-

-

-

-

-

7 MSA Thoracic/Lumbar

18/19

22/12

24/7

41.24/29.9

28.4/28.8

16.2/10.2

29/19

19/12

15/7

Conclusion

We conclude that Cheneau brace active correction principles provide correction and control of congenital spinal deformities.

Authors’ Affiliations

(1)
39 rue des Chanterelles
(2)
Sytenko Institute of Spine and Joint Pathology

Copyright

© Cheneau et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.

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