Evolution of Early Onset Scoliosis under Treatment with a 3D-Brace Concept

Abstract

The objective of this study is to examine the evolution of all the braced patients diagnosed with early onset scoliosis in a private scoliosis center. All patients diagnosed with EOS and braced before the age of ten were retrospectively reviewed. The results have been defined in accordance with the Scoliosis Research Society (SRS) for bracing criteria, and with a minimum follow-up of one year. Improvement and stabilization were considered successful treatments, while failure was considered to be an unsuccessful treatment. Successful results were observed in 80% of patients (63% worst case). In the success group, the Cobb angle was reduced from 36.3° (21–68) to 25° (10–43), with 36% of patients being initially treated only with night-time bracing. Twenty percent of the patients failed, seven had more than 45° at the last control and five had undergone surgery. This study suggests that bracing, using a modern 3D-brace concept, could be an effective treatment option for early onset scoliosis and advocates exploring its effectiveness as an alternative to casting throughout studies of higher levels of evidence.

Effects of 3D Postural Correction and Abdominal Muscle Contraction on the Symmetry of the Transverse Abdominis and Spinal Alignment in Patients with Idiopathic Scoliosis

“…The patients had no history of braces or other conservative treatments. All curve types were recruited according to the Rigo classification [ 29 , 33 , 34 , 35 ]. This classification method uses clinical and radiological criteria, and is designed to overcome the limitations of the classification method that focuses on surgical treatment and the promotion of conservative treatment methods.…”

Early-onset scoliosis

“…It can be removed as desired and most often does not require general anesthesia. Sauvagnac and Rigo [8] reported 80% success of treatment with the 3D correction brace in patients under 5 years. As stated by the authors, these conclusions are consistent with findings from similar studies in other centers [8].…”

“…Sauvagnac and Rigo [8] reported 80% success of treatment with the 3D correction brace in patients under 5 years. As stated by the authors, these conclusions are consistent with findings from similar studies in other centers [8]. Some groups are currently working on randomized studies comparing casting versus bracing for EOS [9].…”

Performance of automatic exposure control on dose and image quality: comparison between slot‐scanning and flat‐panel digital radiography systems

“…The SNR was computed on the brightness-and contrast-adjusted images derived from Equation (7), using the EOSedge images as the reference images. The SNR-to-dose ratio was computed using Equation (10) with the previously computed SNR.…”

“…3,4 For instance, young scoliotic female patients may undergo many X-ray exams, leading to an increased risk of developing breast cancer. 5 Moreover, evolutive pathologies such as cerebral palsy or early onset scoliosis also require biplanar X-ray spine exams for both the evaluation and the follow-up of juvenile patients (3-9 years old), due to high risk of respiratory impairment, 6,7 hence increasing cancer risk and mortality when they are adults. 2 Hence, there is a general tendency of manufacturers to further improve their patient dose reduction strategies.…”