Figure 5
Congenital scoliosis due to failure of formation with a follow-up of 13 years to Risser 4 under conservative treatment with a brace. Patient with failure of formation and curve 52 degrees at the lumbar spine at the age of 18 months when brace treatment started. The three rows of x-rays show the complete radiological follow-up:
- During the first five years of treatment (first row), the curve has been successfully reduced from 52° (first row left) to 46° (first row middle) at the age of 3.6 years to 40° (first row right) at the age of seven.
- Between the age seven to 11 (second row of x-rays) there is no real difference in the follow-up x-rays and the in-brace x-ray (second row on the right) at the age of 11 shows no big correction.
- At 13 years progression back to 50° appeared (third row on the left) and the new brace showed only little in-brace correction (third row middle left). The last brace was made at the age of nearly 16 years at Risser 4, when the curve had progressed to 58° after loss of compliance (third row on the middle right). In-brace x-ray showed no real correction in the mature boy (third row on the right).