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  • Oral presentation
  • Open Access

Using of Chêneau brace for early onset scoliosis treatment

  • 1,
  • 1 and
  • 1
Scoliosis20138 (Suppl 1) :O53

https://doi.org/10.1186/1748-7161-8-S1-O53

  • Published:

Keywords

  • Public Health
  • Clinical Outcome
  • Conservative Treatment
  • Early Onset
  • Treatment Initiation

Background

Casting, halo-traction [1, 2], Milwaukee or TLSO braces [1, 3] are routinely used for the conservative treatment of early onset scoliosis (EOS). Some authors use brace only in a case of congenital scoliosis absence.

Aim

The purpose of this study is to assess outcomes of Chêneau brace use in EOS patients.

Methods

This is a prospective study of clinical outcomes in 17 EOS patients treated with Chêneau brace. Mean age was 4.3 years old. Follow-up was 2-7 years. There were 3 males and 14 females. 3 patients had mixed spinal anomaly (1st group), 10 patients had wedge hemivertebra (2nd group) and 4 patients had infantile idiopathic scoliosis (3rd group).

Results

Before treatment initiation, Cobb angle in the 1st group was 52.3° (43°-60°), in the 2nd group 33.2° (25°-48°), and in the 3rd group 40° (24°-75°). After 6 years follow-up on the 1st group, 1 patient had 7° correction, 1 patient had 8° progression and 1 patient had stable deformity. In the 2nd group, mean correction was 3° (-2°– 15°) and 8.75° (0°-30°) in the 3rd group.

Conclusion

Using a Chêneau brace results in getting EOS correction in 7 (41%) cases, stabilized deformity in 8 cases (47%), and in 2 (12%) cases progression was delayed. The results are the best we get in patients with infantile idiopathic scoliosis.

Authors’ Affiliations

(1)
Sytenko Institute of Spine and Joint Pathology, Orthospine LTD, Kharkiv, Ukraine

References

  1. Fletcher ND, Larson AN, Richards BS, Johnston CE: Current treatment preferences for early onset scoliosis: a survey of POSNA members. J Pediatr Orthop. 31 (3): 326-330.Google Scholar
  2. D'Astous JL, Sanders JO: Casting and traction treatment methods for scoliosis. Orthop Clin North Am. 2007, 38 (4): 477-484. 10.1016/j.ocl.2007.03.006. vView ArticlePubMedGoogle Scholar
  3. Yazici M: Non-Idiopathic Spine Deformities in Young Children. 978-3-642-19416-0Google Scholar

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