Differentiated approach to Chêneau brace choice for the scoliosis treatment
© Chekryzhev et al; licensee BioMed Central Ltd. 2012
Published: 27 January 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 . 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 . Mean follow-up was 5 years. In this study Rigo's clinical and radiological criteria  and SRS terminology were used.
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.
Scoliosis deformity classification provides differentiated Cheneua brace selection according to the deformity pattern.
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