Figure 12

10-year old boy with EOS (early onset scoliosis) in his first Gensingen brace™. Clinically in this boy the flatback is clearly visible. The trunk is rather balanced because of the re-compensation of the 39° thoracic curve by a structural high thoracic counter curve. The curve is very stiff and has a bad prognosis, which can be estimated from the x-ray: In the apical area of the thoracic curve a significant wedging of the vertebra is visible. Nevertheless the curve has been corrected to 18° in the brace, which is sufficient considering the fact that double thoracic and EOS curves cannot be corrected as easy as single thoracic curves in patients with AIS. The foam pad location is marked on the in-brace x-ray with wire as is the longitudinal width of the thoracic pad.