Effect of Chêneau style braces on vertebral wedging amongst individuals with adolescent idiopathic scoliosis

South African Journal of Physiotherapy

 
 
Field Value
 
Title Effect of Chêneau style braces on vertebral wedging amongst individuals with adolescent idiopathic scoliosis
 
Creator Tournavitis, Nico Kuru Çolak, Tuğba Voutsas, Constantinos
 
Subject Orthopaedics; Spine; Scoliosis adolescent; brace; growth; scoliosis; treatment outcome
Description Background: It is generally accepted that braces can stop curve progression but little evidence exists regarding structural improvement in the spine using spinal bracing. Our study aimed to investigate the possible structural improvements of vertebral wedging with high correction bracing.Objectives: The aim of our study was to assess whether spinal brace treatment may influence vertebral wedging in adolescent idiopathic scoliosis (AIS).Method: We reviewed our database according to the following inclusion criteria: girls with a diagnosis of AIS, Risser 0–2, age 10–14 years with Cobb angles greater than 35°. Our study cohort consisted of 27 patients fulfilling the inclusion criteria with an average brace wearing time of 16.6 h per day and Cobb angles between 36° and 79°. The target value for our study was the apical vertebra wedging, measured twice before brace treatment commenced and twice after the average follow-up period of 20.5 months of treatment.Results: The average apex wedging noted before brace wearing started was 9.8° (median: 9) and after a period of 20.5 months of brace wearing, it had reduced to an average of 5.8° (median: 4.9), (p 0.001). This would indicate a structural correction of 44%.Conclusions: Our study supports the hypothesis that spinal high correction braces improve the degree of vertebral wedging in skeletally immature girls with AIS.Clinical implications: Structural corrections of the apical vertebra seem possible when high correction asymmetric braces are used in the treatment of patients with AIS.
 
Publisher AOSIS
 
Contributor -
Date 2021-12-17
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — A cross-sectional retrospective chart review with quota sampling technique
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v77i2.1617
 
Source South African Journal of Physiotherapy; Vol 77, No 2 (2021); 8 pages 2410-8219 0379-6175
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/1617/2794 https://sajp.co.za/index.php/sajp/article/view/1617/2795 https://sajp.co.za/index.php/sajp/article/view/1617/2796 https://sajp.co.za/index.php/sajp/article/view/1617/2797
 
Coverage — Adolescents apical vertebra wedging angle, Cobb angle, angle of trunk rotation
Rights Copyright (c) 2021 Nico Tournavitis, Tuğba Kuru Çolak, Constantinos Voutsas https://creativecommons.org/licenses/by/4.0
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