Figure 19

Same patient as on Fig. 18 with changed brace pattern. After 6 months of treatment with a Gensingen brace™ 4C the lumbar curve was reduced, however the thoracic curve had increased by 5°. This is why we decided to change the brace to a Gensingen brace™ 3C in order to get rid of the rib shift on the concave side against the thoracic re-compensation. This is to show that sometimes it is not clear from the very start which brace may be the best for the patient. Today we address the primary curve at first and risk an increase of the counter curve when a patient is imbalanced. This allows having the best possible cosmetic result at the very end; however in this patient, there was no more change of cosmetics. The patient, nevertheless, is satisfied cosmetically and refuses surgery.