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Vertebral deformity corrected by bracing: retrospective selected case series of 10 scoliosis patients treated with a RSC Brace

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Background

Bracing can prevent curve progression in Idiopathic Scoliosis. Compliance and in-brace correction predict the end result. Part time, full time or even night time bracing may result in excellent in-brace correction. This is associated with a progressive correction of the spinal and trunk deformity as well as a correction of the vertebral deformity. This 10 patient series demonstrates a clear correction of the vertebral, spinal and trunk deformity.

Materials and methods

Retrospective selected case series of 10 patients (8 F, 2 M) diagnosed with IS, with a minimum age of 5 years and a maximum of 13, all of them treated with a RSC brace. Curve pattern: 7 thoracic, 1 thoracic double major and 2 thoracolumbar. Minimum observation time was 1 year and 3 months and maximum 5 years 5 months. Mean Cobb angle was 36° (25°–47°). All the patients showed an in-brace correction in their first brace > 45%.

Results and conclusion

Results are presented case by case. After a minimum of 1 year of observation all the patients showed a correction of the vertebral wedging in the apex ≥ 50%. Four patients have finished the treatment, and they maintain a correction of the main curve higher than 10°. All the patients showed a marked correction of the trunk asymmetry. Some case reports have shown that correction of the vertebral deformity is possible. A retrospective series of selected cases demonstrate that this phenomenon is not rare. These results support the 'vicious cycle model'.

References

  1. 1.

    Chêneau J: Wedge vertebrae normalization in congenital scoliosis due to the application of external forces by brace. Scoliosis. 2007, 2 (suppl 1): S29-10.1186/1748-7161-2-S1-S29.

  2. 2.

    Weiss HR, Rigo M: The Chêneau Concept of Bracing – Actual Standards. Stud Health Technol Inform. 2008, 135: 291-302.

  3. 3.

    Rigo M, Weiss HR: The Chêneau Concept of Bracing – Biomechanical aspects. Stud Health Technol Inform. 2008, 135: 303-19.

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Author information

Correspondence to Manuel Rigo.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution 2.0 International License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Keywords

  • Idiopathic Scoliosis
  • Cobb Angle
  • Vicious Cycle
  • Cycle Model
  • Curve Progression