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Observational Study
. 2013 Nov;22 Suppl 6(Suppl 6):S815-22.
doi: 10.1007/s00586-013-3020-1. Epub 2013 Sep 17.

Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?

S De Giorgi  1 , A Piazzolla, S Tafuri, C Borracci, A Martucci, G De Giorgi
Affiliations
Observational Study

Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?

S De Giorgi et al. Eur Spine J. 2013 Nov.

Abstract

Objective: The aim of this study was to evaluate the effectiveness of Chêneau brace in the management of idiopathic scoliosis.

Methods: This is a retrospective observational study according to SOSORT and SRS (Scoliosis Research Society) recommendations involving 48 girls with documented progressive idiopathic scoliosis, treated with Chêneau brace. A statistical analysis was performed with STATA MP11.2 to validate the obtained results.

Results: No patient needed surgery. The average curve angle measured in Cobb degrees passed from 27° ± 6.7° at the beginning (T0), to 7.6° ± 7.4° in brace (T1) (72 % of correction), to 8.5° ± 8.6° (69 % of correction) at the end of treatment (T2), to 11.0° ± 7.4° (59.3 % of correction) at final follow-up (mean 5 years and 5 months) (T3).

Conclusion: Conservative treatment with Chêneau brace and physiotherapy was effective in our hands for halting scoliosis progression in 100 % of patients.

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Figures

Fig. 1
Fig. 1
N.P. 10 years beginning of treatment, A.V. in brace, during treatment, at the end of treatment and at final follow-up
Fig. 2
Fig. 2
DSP 10 years 5 months beginning of treatment, A.V. in brace, during treatment, at the end of treatment and at final follow-up
Fig. 3
Fig. 3
D.F. 10 years 6 months beginning of treatment (a), A.V. in brace (b), during treatment (c–f), at the end of treatment (g) and at final follow-up (h)
Fig. 4
Fig. 4
CC 11 years 6 months beginning of treatment (a), A.V. in brace (b), during treatment (c–e), at the end of treatment (f) and at final follow-up (g)
See this image and copyright information in PMC

References

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    1. Weinstein SL, Dolan LA, Spratt KF, et al. Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study. JAMA. 2003;289:559–600. doi: 10.1001/jama.289.5.559. - DOI - PubMed
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