Effect of the Chêneau Brace in the Natural History of Moderate Adolescent Idiopathic Scoliosis in Girls: Cohort Analysis of a Selected Homogenous Population of 100 Consecutive Skeletally Immature Patients

Korovessis, Panagiotis; Syrimpeis, Vasileios; Tsekouras, Vasileios; Vardakastanis, Konstantinos; Fennema, Peter

doi:10.1016/j.jspd.2018.01.006

Cited by 14 publications

(13 citation statements)

References 33 publications

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“…In addition, no coronal deviation of the spine occurred during brace therapy. Cobb correction revealed similar results as correction mentioned in the literature [ 23 , 24 ]. Although there exists a lot of high-quality studies on the efficacy of bracing [ 25 , 26 , 27 ], there is still a need for additional evidence on fundamental topics, such as impact of the brace therapy on sagittal alignment and axial derotation.…”

Section: Discussionsupporting

confidence: 87%

Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS)

Pepke

Zeneiny

Almansour

et al. 2021

JCM

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Chêneau-brace is an effective therapy tool for treatment in adolescent idiopathic scoliosis (AIS). Data on potential interdependent changes of the sagittal profile including the cervical spine are still sparse. The purpose of this study was to evaluate in-brace changes of the thoracic and lumbar spine and their influence on the pelvis and the cervical spine and apical vertebral rotation was reported. Ninety-three patients with AIS undergoing Chêneau-bracing were included. Patients were stratified by lumbar, thoracic and global spine alignment into normolordotic vs. hyperlordotic or normokyphotic vs. hypokyphotic or anteriorly aligned vs. posteriorly aligned groups. The coronal Cobb angle was significantly decreased in all groups indicating good correction while in-brace therapy. Sagittally, in-brace treatment led to significant flattening of lumbar lordosis (LL) in all stratified groups. Thoracic kyphosis (TK) was significantly flattened in the normokyphotic group, but no TK changes were noticed in the hypokyphotic group. Pelvic tilt (PT) stayed unchanged during the in-brace therapy. Chêneau-brace showed marginal changes in the lower cervical spine but had no influence on the upper cervical spine. The apical vertebral axis in primary and secondary curves was unchanged during the first radiological follow-up. Results from this study contribute to better understanding of initial spine behavior in sagittal and axial plane in the context of bracing.

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Section: Discussionsupporting

confidence: 87%

Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS)

Pepke

Zeneiny

Almansour

et al. 2021

JCM

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“…Studies with low to moderate in-brace corrections show that at average, there might be a progression after weaning from the brace 38) , whilst in studies with higher in-brace corrections there may be improvements after brace weaning 18,44) .…”

Section: Discussionmentioning

confidence: 99%

“…Chêneau style braces seem to be effective in several cohorts, however, the results seem to vary significantly [28][29][30][31][32][33][34][35][36][37][38] . The first end-results study on Chêneau style bracing 26) seems more effective than a later study from Germany 33) and a more recent study from Poland 35) , the latter with a success rate of only 56%.…”

Section: Discussionmentioning

confidence: 99%

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First end-result of a prospective cohort with AIS treated with a CAD Chêneau style brace

Weiss¹,

Turnbull

Seibel³

et al. 2019

J Phys Ther Sci

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Specific exercises and brace treatment are the two evidence-based modes of treatment for patients with scoliosis. The purpose of this paper is to present the first end-results from a prospective cohort that commenced treatment in 2011 with a CAD based Chêneau derivate and is then compared to the published results achieved with the Boston Brace. [Participants and Methods] Inclusion criteria for the study, refers to the SRS inclusion criteria on bracing, except the range of Cobb angles which was extended to curvatures of up to 45°. Twentyeight patients were weaned from their CAD Chêneau style brace. The results of this cohort have been compared with the BRAIST study by Weinstein et al. with the help of the Z-test. [Results] A success rate of 92.9% has been achieved. This was compared to the success rate of 72% in the BRAIST study. The differences were highly significant in the Z-test. [Conclusion] The results achieved with the GBW are significantly and better than the results achieved with the Boston brace. Therefore, the standards for bracing should be reviewed with the results that symmetric compression with Boston bracing is not as successful, when compared to asymmetric high correction bracing results, which allow a standardized classification-based corrective approach.

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“…Die Versorgung mit dem Boston-Brace wurde durch eine randomisierte Studie belegt [ 30 ]. Allerdings hat sich in späteren Studien gezeigt, dass Chêneau-basierte Versorgungen zu besseren Endergebnissen führen können [ 13 , 14 , 16 , 19 , 20 , 32 , 37 , 40 ]. In einem aktuellen Review zur Korsettversorgung von Kindern und Jugendlichen fanden sich jedoch auch bei Chêneau-basierten Korsetten recht unterschiedliche Ergebnisse [ 4 , 13 , 14 , 16 , 19 , 20 , 24 , 32 , 37 , 40 , 44 ].…”

Section: Introductionunclassified

Ist eine Verbesserung der Behandlungssicherheit in der Korsettversorgung von Skoliosepatienten durch Anwendung standardisierter CAD-Algorithmen möglich?

Weiss¹,

Lay²,

Seibel³

et al. 2020

Orthopäde

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Zusammenfassung Hintergrund Die Versorgung von Skoliosepatienten mit korrigierenden Rumpforthesen führt auch heutzutage noch zu recht unterschiedlichen Ergebnissen. Publizierte Erfolgsquoten zwischen 50 und 90 % führen zwangsläufig zu der Frage, wie sich die Erfolgsquoten der Korsettversorgung steigern und vereinheitlichen lassen. Die Ergebnisse einer mit dieser Zielsetzung weiterentwickelten computerunterstützen (CAD/„Computer Aided Design“) Chêneau-Versorgung werden dargestellt. Methodik Am Stichtag (08.12.2019) wurde die prospektiv angelegte Datenbank unserer Abteilung retrospektiv ausgewertet. Es waren ausschließlich unreife Mädchen mit einer Adoleszentenskoliose, Alter 10–14 Jahre, Risser 0–2 in die Datenbank aufgenommen worden. Ergebnisse Sowohl die Gesamtgruppe mit einem Beobachtungszeitraum von mindestens 18 Monaten als auch die Patientinnengruppen mit bereits erreichtem Behandlungsabschluss zeigten Erfolgsraten zwischen 86 und 88 %. Die Ergebnisse insgesamt waren signifikant besser als die Erfolgsrate der Boston-Brace-Kontrollgruppe (BRAIST) von 72 %. Auch im Vergleich mit den Ergebnissen anderer Chêneau-Derivate war die Erfolgsrate unserer Serie teils deutlich besser. Schlussfolgerungen Die Behandlungssicherheit für die Patienten mit Skoliosen sollte verbessert werden. Ein Ansatz hierzu kann die Verwendung standardisierter CAD-Bibliotheken sein. Weitere Untersuchungen mit Studiendesigns höherer Evidenz sind notwendig, um die in unserer Untersuchung gefundenen Ergebnisse zu untermauern.

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Effect of the Chêneau Brace in the Natural History of Moderate Adolescent Idiopathic Scoliosis in Girls: Cohort Analysis of a Selected Homogenous Population of 100 Consecutive Skeletally Immature Patients

Abstract: Level 3.

Cited by 14 publications

References 33 publications

Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS)

Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS)

First end-result of a prospective cohort with AIS treated with a CAD Chêneau style brace

Ist eine Verbesserung der Behandlungssicherheit in der Korsettversorgung von Skoliosepatienten durch Anwendung standardisierter CAD-Algorithmen möglich?

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