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Using of Chêneau brace for early onset scoliosis treatment

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.

References

  1. 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.

  2. 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. v

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    Yazici M: Non-Idiopathic Spine Deformities in Young Children. 978-3-642-19416-0

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Correspondence to D Chekryzhev.

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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. Using of Chêneau brace for early onset scoliosis treatment. Scoliosis 8, O53 (2013). https://doi.org/10.1186/1748-7161-8-S1-O53

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Keywords

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