Vertebral deformity corrected by bracing: retrospective selected case series of 10 scoliosis patients treated with a RSC Brace
Scoliosis volume 4, Article number: O45 (2009)
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'.
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.
Weiss HR, Rigo M: The Chêneau Concept of Bracing – Actual Standards. Stud Health Technol Inform. 2008, 135: 291-302.
Rigo M, Weiss HR: The Chêneau Concept of Bracing – Biomechanical aspects. Stud Health Technol Inform. 2008, 135: 303-19.
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Rigo, M., Villagrasa, M. & Quera-Salvá, G. Vertebral deformity corrected by bracing: retrospective selected case series of 10 scoliosis patients treated with a RSC Brace. Scoliosis 4 (Suppl 1), O45 (2009). https://doi.org/10.1186/1748-7161-4-S1-O45