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Differentiated approach to Chêneau brace choice for the scoliosis treatment
Scoliosis volume 7, Article number: O32 (2012)
Background and purpose
To validate choice of the Cheneau brace according to scoliotic deformity type.
Materials and methods
Study group included 1700 patients with AIS treated by Cheneau brace [1]. Major deformity Cobb angle ranged 20°-40°, spinal rotation ranged 15°-35°. Age of the patients was ranged 11-15 years old. Radilogic mesurements and clinical presentation of the spinal deformity during the investigation were assesed [2]. Mean follow-up was 5 years. In this study Rigo's clinical and radiological criteria [3] and SRS terminology were used.
Results
According to obtained data four scoliotic deformity patterns were defined: primary thoracic and secondary lumbar/thoracolambar curve (pattern 1); primary thoracolumbar and secondary lumbar curve (pattern 2); primary lumbar curve with/without secondary thoracic curve (pattern 3); triple curve deformity (pattern 4). This classification allowed to deifine following 6 brace types : for 1 pattern - braces of Tl, T2, T3 types. For 2 pattern - brace T3 type; for 3 pattern - braces of L1, L2, Tl and T2 types. For 4 type pattern - brace of CTL type.
Conclusions
Scoliosis deformity classification provides differentiated Cheneua brace selection according to the deformity pattern.
References
Rigo M, Weiss HR: The Cheneau concept of bracing- Biomechanical aspects. Stud Health Technol and Inform. 2008, 135: 303-319.
Lenke LG, Edwards CC, Bridwell KH: The Lenke classification of adolescent idiopathic scoliosis: how it organizes curve patterns as a template to perform selective fusions of the spine. Spine. 2003, 28: S199-207. 10.1097/01.BRS.0000092216.16155.33.
Rigo M, Villagrasa M, Gallo D: A specific scoliosis classification correlating with brace treatment: description and reliability. Scoliosis. 2010, 5: 1-10.1186/1748-7161-5-1.
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This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://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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Chekryzhev, D., Mezentsev, A. & Petrenko, D. Differentiated approach to Chêneau brace choice for the scoliosis treatment. Scoliosis 7 (Suppl 1), O32 (2012). https://doi.org/10.1186/1748-7161-7-S1-O32
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DOI: https://doi.org/10.1186/1748-7161-7-S1-O32
Keywords
- Public Health
- Type Pattern
- Spinal Deformity
- Spinal Rotation
- Thoracic Curve