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Differentiated approach to Chêneau brace choice for the scoliosis treatment

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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

  1. 1.

    Rigo M, Weiss HR: The Cheneau concept of bracing- Biomechanical aspects. Stud Health Technol and Inform. 2008, 135: 303-319.

  2. 2.

    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.

  3. 3.

    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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Author information

Correspondence to D Chekryzhev.

Rights and permissions

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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Cite this article

Chekryzhev, D., Mezentsev, A. & Petrenko, D. Differentiated approach to Chêneau brace choice for the scoliosis treatment. Scoliosis 7, O32 (2012). https://doi.org/10.1186/1748-7161-7-S1-O32

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Keywords

  • Public Health
  • Type Pattern
  • Spinal Deformity
  • Spinal Rotation
  • Thoracic Curve