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

Giorgi, Silvana De; Piazzolla, Andrea; Tafuri, Silvio; Borracci, C.; Martucci, Antonio; Giorgi, G. De

doi:10.1007/s00586-013-3020-1

Cited by 49 publications

(66 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The Chêneau brace resulted in a higher percentage of correction for thoracic curves at the final follow-up; however, it may not prevent curve progression effectively for double major curves. The results of the present study differed from those of De Giorgi et al, 5 who reported a high percentage of correction for all curves and a more significant percentage of correction at the final follow-up for thoracolumbar curves. However, there may have been a bias in their study because of the small sample size.…”

Section: Discussioncontrasting

confidence: 99%

Long-term effects of the Chêneau brace on coronal and sagittal alignment in adolescent idiopathic scoliosis

Fang¹,

Wang²,

Xiang³

et al. 2015

SPI

View full text Add to dashboard Cite

OBJECT The aim of the present study was to retrospectively evaluate progressive correction of coronal and sagittal alignment and pelvic parameters in patients treated with a Chêneau brace. METHODS Thirty-two patients with adolescent idiopathic scoliosis (AIS) were assessed before initiation of bracing treatment and at the final follow-up. Each patient underwent radiological examinations, and coronal, sagittal, and pelvic parameters were measured. RESULTS No statistically significant modification of the Cobb angle was noted. The pelvic incidence remained unchanged in 59% of the cases and increased in 28% of the cases. The sacral slope decreased in 34% of the cases but remained unchanged in 50%. Thoracic kyphosis and lumbar lordosis were significantly decreased, whereas the sagittal vertical axis was significantly increased from a mean of -44.0 to -30.2 mm (p = 0.02). The mean pelvic tilt increased significantly from 4.5° to 8.3° (p = 0.002). CONCLUSIONS The Chêneau brace can be useful for preventing curvature progression in patients with AIS. However, the results of this study reveal high variability in the effect of brace treatment on sagittal and pelvic alignment. Treatment with the Chêneau brace may also influence sagittal global balance.

show abstract

Section: Discussioncontrasting

confidence: 99%

Long-term effects of the Chêneau brace on coronal and sagittal alignment in adolescent idiopathic scoliosis

Fang¹,

Wang²,

Xiang³

et al. 2015

SPI

View full text Add to dashboard Cite

show abstract

“…In a recent retrospective cohort study on Chêneau braces 26 from Italy, the authors report high in-brace corrections and a success rate of more than 95% as published in 2012 in a series of the first author 15 . However, the average Cobb angle in the sample of patients from Italy as reported is n early reduction of the curvature, the earliest onset of treatment with the highest in-brace correction is desirable.…”

Section: Discussionmentioning

confidence: 99%

Bracing scoliosis: The evolution to CAD/CAM for improved in-brace corrections

Weiss¹,

Seibel²,

Moramarco³

et al. 2013

Hard Tissue

View full text Add to dashboard Cite

“…Patients should be instructed that the correction of the spine takes place only when the brace is on the body. Morevoer, the effectiveness of the Chêneau brace in halting the progression of the AIS has been experimentally proven 18 . Although full-time bracing has the longest history, some negative psychosocial effects of daytime bracing have led to the study of part-time bracing protocols (using e.g.…”

Section: Discussionmentioning

confidence: 99%

The Duration of the correction loss after removing cheneau brace in patients with adolescent idiopathic scoliosis

Zaborowska-Sapeta

Giżewski

Binkiewicz-Glińska

et al. 2019

Acta Orthopaedica et Traumatologica Turcica

View full text Add to dashboard Cite

ObjectiveThe aim of the study was to evaluate the loss of truncal rotation over 54 hours after removing Chêneau brace.MethodsThe studied groups consisted of 39 girls aged 10–18 years old, diagnosed with adolescent idiopathic scoliosis (AIS) and treated with Chêneau brace (CAST) and 20 AIS girls aged 10–18 years old, not treated with bracing. Posterior-anterior radiographs were obtained from the clinical assessment of all subjects and were subsequently used to determine Cobb angles. The measurements of the angle of trunk rotation (ATR) were taken with the Scoliometer® and back-contour device during Adams forward bending test by the two evaluators. The changes in ATRs during 54 hours of observation were performed after the brace had been taken off (0, 2, 24, 30, 48 and 54 hours after debracing). This was described using VATR variable, defined as the change in the absolute Scoliometer® readings in the time intervals against the time interval Δt between the measurements. During back-contour assessment the differential factor (kra) has been used for the digital analysis. The changes in kra over 54 hours of observation were expressed as Vkra factor, defined as the difference in the absolute value of the amplitude differential factor (kra) in the time intervals against the time interval Δt between the measurements.ResultsThe highest changes were observed in the thoracic as well as in lumbar spine in patients with Cobb angle ≥30°, axial rotation of the apical vertebrae within 5–15°, Risser sign 0–2. The biggest change in the trunk rotation after Chêneau brace had been taken off was noted within the first two hours of observation.ConclusionThe patients should be advised to take the brace off for a minimum of two hours before the scheduled x-ray, to allow full relaxation of the trunk in order to obtain reliable radiological images of the deformation.Level of EvidenceLevel III Therapeutic study.

show abstract

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

Cited by 49 publications

References 17 publications

Long-term effects of the Chêneau brace on coronal and sagittal alignment in adolescent idiopathic scoliosis

Long-term effects of the Chêneau brace on coronal and sagittal alignment in adolescent idiopathic scoliosis

Bracing scoliosis: The evolution to CAD/CAM for improved in-brace corrections

The Duration of the correction loss after removing cheneau brace in patients with adolescent idiopathic scoliosis

Contact Info

Product

Resources

About