Figure 1

WCR in-brace correction from 41 degrees to 5 degrees Cobb angle. a: The X-ray presents a right thoracic curve of 41 degrees Cobb angle which was measured from T9 to L2 with the curve apex at T11-12. The upper thoracic curve was approximately 25 degrees Cobb angle. b: An in-brace X-ray of patient with Cheneau-Rigo handmade type brace, 18 hours after initial fitting. The thoracic trimline was as high as T10 (above the curve apex) and the pressure pad pushed from T10 to L3, which was above and below the measured Cobb angle. However, the center of maximum pressure was at T-12, as marked by the paperclip in the X-ray. A support force or slight counter force was placed on the left, at the level of L-4 and a left axilla force was applied at the maximum inclined vertebra at approximately T6. This was on the high side, however it provides room for the patient to grow and still provide optimal correction. Care must be taken in these cases to not produce a structural upper thoracic curve. The right thoracic curve reduced in-brace from 41 degrees to 5 degrees Cobb angle and the upper thoracic curve reduced in-brace from approximately 25 degrees Cobb angle to 10 degrees Cobb angle. c: Patient in a Cheneau-Rigo handmade type brace with optimal axilla, thoracic and lumbar pad heights.