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European Spine Journal

, Volume 22, Issue 11, pp 2445–2448 | Cite as

Three dimensional analysis of brace biomechanical efficacy for patients with AIS

  • David E. LebelEmail author
  • Zaid Al-Aubaidi
  • Eyun-Jung Shin
  • Andrew Howard
  • Reinhard Zeller
Original Article

Abstract

Purpose

Corrective three dimensional (3D) effect of different braces is debatable. We evaluated differences in in-brace radiographic correction comparing a custom thoracic-lumbo-sacral-orthosis (TLSO) (T) brace to a Chêneau type TLSO (C) brace using 3D EOS reconstruction technology. Our primary research question was the 3D effect of brace on the spine and in particularly the apical vertebra rotation (AVR).

Methods

This was a retrospective comparative analysis of patients with adolescent idiopathic scoliosis who had orthogonal AP and lateral X-rays with and without brace. A 3D image of the spine was reconstructed. Coronal, sagittal and axial spine parameters were measured before bracing and then on the first post-brace X-ray. Brace efficacy in controlling coronal, sagittal and axial parameters was evaluated.

Results

Eighteen patients treated with the C brace and ten patients treated with the T brace were included. No difference was found regarding patients’ age, gender, magnitude of Cobb angle, sagittal parameters or AVR at inclusion. Following bracing, AVR was significantly reduced by the C brace compared to the T brace [average correction of 8.2° vs. 4.9° (P = 0.02)]. Coronal and sagittal correction did not differ significantly between the two groups.

Conclusions

By utilizing a novel 3D reconstruction technology, we were able to demonstrate that braces differ in their immediate effects on the spine. Although clinical relevance should be evaluated in a future trial we feel that the ability to measure treatment effects in 3D, and especially the transverse plane, is an important tool when evaluating different treatments.

Keywords

Scoliosis 3D Apical vertebrae rotation (AVR) 

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • David E. Lebel
    • 1
    Email author
  • Zaid Al-Aubaidi
    • 1
  • Eyun-Jung Shin
    • 1
  • Andrew Howard
    • 1
  • Reinhard Zeller
    • 1
  1. 1.Pediatric Orthopedic Surgery DivisionHospital for Sick ChildrenTorontoCanada

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