Volume 2 Supplement 1

4th International Conference on Conservative Management of Spinal Deformities

Open Access

Wedged vertebrae normalization in congenital scoliosis due to application of external forces by brace

  • Jacques Chêneau1,
  • Theodoros B Grivas2Email author,
  • Gudrun Engels3 and
  • Herta Sanitätshaus Fritsch4
Scoliosis20072(Suppl 1):S29

https://doi.org/10.1186/1748-7161-2-S1-S29

Published: 12 October 2007

Objective

It is well documented that congenital scoliosis patients suffering defects of segmentation, like unilateral unsegmented bars, need early surgical treatment, as the deformity will malignantly progress [1]. Other similar cases having defects of formation such as hemivertebrae (nonincarcerated, semincarcerated, or incarcerated) receive a variety of treatments ranging from observation to brace treatment or surgical intervention [2]. The aim is to highlight the fact that, in selected congenital scoliosis patients, the smaller side of blocks and wedged vertebrae can be expanded due to brace treatment.

Study design

Presentation of the long-term follow-up of two congenital scoliotics with blocks and hemivertebrae, conservatively treated.

Materials and methods

The first patient is a boy (born on 30 October 1985). He was eleven years of age when he initially attended the scoliosis clinic with a L3 incarcerated hemivertebra, with a Cobb angle L2–L4 of 21 degrees. Due to surface deformity and anticipation of a possible progression of the scoliotic curve, conservative treatment with a modified Boston Brace was commenced, with regular clinical and radiographic followup. The second patient is a girl (born on 30 September 1985). She was six years of age when she initially with an abnormal block, a congenital wedge vertebra Th5–6 and 23° of Cobb angle. She received a nearly typical Chêneau brace.

Results

Long-term follow-up revealed that wedged vertebrae were sufficiently normalized in both patients, that no further treatment was needed.

Conclusion

Wedge deformed vertebrae can be straightened by brace. Other types of vertebral deformations, including idiopathic scoliosis and Scheuermann's disease often show wedge deformed vertebrae and can also be straightened by brace, although this fact seems to be generally not acknowledged.

Authors’ Affiliations

(1)
39 rue des Chanterelles
(2)
Orthopaedic and Spinal Surgeon, Head of the Orthopaedic Department, "Thriasio" General Hospital
(3)
am Buzenweg 6
(4)
Kirchenstrasse 6D

References

  1. Winter RB, Moe JH, Eilers VE: Congenital scoliosis: a study of 234 patientstreated and untreated. Part I: Natural History. J Bone Jt Surg. 1968, 50-A: 1-15.Google Scholar
  2. Winter RB: Congenital spinal deformity. Moe's Textbook of Scoliosis and Other Spinal Deformities. Edited by: Lonstein JE, Bradford DS, Winter RB, Ogilvie JW. 1995, WB. Saunders Company, Chapter 12: 257-294.Google Scholar

Copyright

© Chêneau et al; licensee BioMed Central Ltd. 2007

This article is published under license to BioMed Central Ltd.

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