Chêneau brace for adolescent idiopathic scoliosis: long-term results. Can it prevent surgery?
The aim of this study was to evaluate the effectiveness of Chêneau brace in the management of idiopathic scoliosis.
This is a retrospective observational study according to SOSORT and SRS (Scoliosis Research Society) recommendations involving 48 girls with documented progressive idiopathic scoliosis, treated with Chêneau brace. A statistical analysis was performed with STATA MP11.2 to validate the obtained results.
No patient needed surgery. The average curve angle measured in Cobb degrees passed from 27° ± 6.7° at the beginning (T0), to 7.6° ± 7.4° in brace (T1) (72 % of correction), to 8.5° ± 8.6° (69 % of correction) at the end of treatment (T2), to 11.0° ± 7.4° (59.3 % of correction) at final follow-up (mean 5 years and 5 months) (T3).
Conservative treatment with Chêneau brace and physiotherapy was effective in our hands for halting scoliosis progression in 100 % of patients.
KeywordsChêneau brace Idiopathic scoliosis Conservative treatment
Conflict of interest
- 1.Nachemson AL, Lonstein JE, Weinstein SL (1982) Report of the prevalence and natural history committee of the scoliosis research society. Scoliosis Research Society, DenverGoogle Scholar
- 4.Chêneau J (1994) Corset Chêneau. Manuel d’orthopédie des scolioses suivant la technique originale. Masson, EdGoogle Scholar
- 5.Landauer F, Wimmer C (2003) Therapieziel der Korsettbehandlung bei idiopathischer Adoleszentenskoliose. MOT 123:33–37Google Scholar
- 6.Grivas TB, Vasiliadis E, Chatziargiropoulos T, Polyzois VD, Gatos K (2003) The effect of a modified Boston brace with anti-rotatory blades on the progression of curves in idiopathic scoliosis: aetiologic implications. Ped Rehab 6:237–242Google Scholar
- 10.Rigo M, Reiter C, Weiss H-R (2003) Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Ped Rehab 6:209–214Google Scholar
- 11.Weiss H-R, Weiss G, Scharr H-J (2003) Incidence of surgery in conservatively treated patients with scoliosis. Ped Rehab 6:111–118Google Scholar
- 14.Lenssinck M, Frijlink A, Berger M, Bierma-Zeimtra S, Verkerk K, Verhagen A (2005) Effect of bracing and other conservative interventions in the treatment of idiopathic scoliosis in adolescents: a systematic review of clinical trials. Phys Ther 12:1329Google Scholar
- 15.Negrini S, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Grivas TB, Kotwicki T, Maruyama T, Romano M, Vasiliadis ES (2010) Braces for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev 1:CD006850Google Scholar
- 16.Bunge EM, Juttmann RE, de Kleuver M, von Biezen FC, de Koning HJ; NESCIO group (2007) Health-related quality of life in patients with adolescent idiopathic scoliosis after treatment: short-term effects after brace or surgical treatment. Eur Spine J 16(1):83–89Google Scholar
- 17.Chêneau J (2003) Scoliosis treating brace evaluation of our brace since 1970: an evaluation of the normalization of rotation, of rib static and of the wedge shaped vertebrae. Locomot Syst 1:29–38Google Scholar
- 18.Cobb JR (1948) Outline for the study of scoliosis. AAOS Instr Course Lect 5:261–275Google Scholar
- 19.Stagnara P (1985) Les déformations du rachis. Masson, ParisGoogle Scholar
- 20.Lonstein JE (1995) Moe’s textbook of scoliosis and other spinal deformities. Saunders, Philadelphia, pp 45–86Google Scholar
- 22.Blaha J, Bukac J (2005) Correction of idiopathic scoliotic curves by means of conservative treatment using spinal bracing. Acta Medica 48(1):31–35Google Scholar
- 25.Aulisa AG, Guzzanti V, Galli M, Perisano C, Falciglia F, Aulisa L (2009) Treatment of thoraco-lumbar curves in adolescent females affected by idiopathic scoliosis with a progressive action short brace (PASB): assessment of results according to the SRS committee on bracing and non operative management standardization criteria. Scoliosis 18(4):21CrossRefGoogle Scholar