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Factors associated with the success of the Rigo System Chêneau brace in treating mild to moderate adolescent idiopathic scoliosis

  • Original Clinical Article
  • Published:
Journal of Children's Orthopaedics

Abstract

Background

Adolescent idiopathic scoliosis (AIS) is the most prevalent spine deformity within the pediatric population. Orthosis is the mainstay of conservative treatment for mild to moderate AIS. The Rigo System Chêneau (RSC) brace is a custom-made thoracolumbar sacral orthosis (TLSO) based on a three-dimensional correction concept. The purpose of this study was to identify factors that could predict the therapeutic success/failure of the RSC brace.

Materials and methods

A retrospective cohort study was performed on all consecutive patients according to the Scoliosis Research Society (SRS) criteria for the success of conservative treatment. Participants had a 2-year follow-up beyond the termination of brace treatment. All patients were treated with the RSC orthotic device.

Results

Ninety-three patients met the inclusion criteria. At treatment onset, their average age was 12.9 years, average Cobb angle 31.97°, Risser score 1.07, and the mean angle of thoracic rotation (ATR) was 10.2°. The mean brace treatment period was 36 months. Treatment was successful in 83.8 % of these patients (n = 79). The average final Cobb angle was 28.97°, Risser score 4.88, and ATR 8.09°. The pre-treatment factors associated with the success of applying the RSC brace were a high Risser score [odds ratio (OR) = 2.97, 95 % confidence interval [CI] 1.18–7.44; p = 0.02), a low Cobb angle (OR = 0.92, 95 % CI 0.85–0.99; p = 0.02), and low ATR (OR = 0.86, 95 % CI 0.75–0.99; p = 0.04).

Conclusions

The treatment of mild to moderate AIS with the RSC brace provides excellent clinical results. Its added benefit is enabling a three-dimensional correction of a three-dimensional deformity. Pre-treatment high Risser score, low Cobb angles, and low ATRs are associated with treatment success.

Level of evidence

Retrospective analysis, Level III.

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References

  1. Bunnell WP (1986) The natural history of idiopathic scoliosis before skeletal maturity. Spine 11:773–776

    Article  CAS  Google Scholar 

  2. Lonstein JE, Carlson JM (1984) The prediction of curve progression in untreated idiopathic scoliosis during growth. J Bone Joint Surg Am 66:1061–1071

    CAS  Google Scholar 

  3. Peterson LE, Nachemson AL (1995) Prediction of progression of the curve in girls who have adolescent idiopathic scoliosis of moderate severity. Logistic regression analysis based on data from The Brace Study of the Scoliosis Research Society. J Bone Joint Surg Am 77:823–827

    CAS  Google Scholar 

  4. Weinstein SL (1989) Adolescent idiopathic scoliosis: prevalence and natural history. Instr Course Lect 38:115–128

    CAS  Google Scholar 

  5. Danielsson AJ, Hasserius R, Ohlin A, Nachemson AL (2007) A prospective study of brace treatment versus observation alone in adolescent idiopathic scoliosis: a follow-up mean of 16 years after maturity. Spine 32:2198–2207

    Article  Google Scholar 

  6. Gammon SR, Mehlman CT, Chan W, Heifetz J, Durrett G, Wall EJ (2010) A comparison of thoracolumbosacral orthoses and SpineCor treatment of adolescent idiopathic scoliosis patients using the Scoliosis Research Society standardized criteria. J Pediatr Orthop 30:531–538

    Article  Google Scholar 

  7. Noonan KJ, Weinstein SL, Jacobson WC, Dolan LA (1996) Use of the Milwaukee brace for progressive idiopathic scoliosis. J Bone Joint Surg Am 78:557–567

    CAS  Google Scholar 

  8. Emans JB, Kaelin A, Bancel P, Hall JE, Miller ME (1986) The Boston bracing system for idiopathic scoliosis. Follow-up results in 295 patients. Spine 11:792–801

    Article  CAS  Google Scholar 

  9. Richards BS, Bernstein RM, D’Amato CR, Thompson GH (2005) Standardization of criteria for adolescent idiopathic scoliosis brace studies. Spine 30:2068–2075

    Article  Google Scholar 

  10. Janicki JA, Poe-Kochert C, Armstrong DG, Thompson GH (2007) A comparison of the thoracolumbosacral orthoses and providence orthosis in the treatment of adolescent idiopathic scoliosis: results using the new SRS inclusion and assessment criteria for bracing studies. J Pediatr Orthop 27:369–374

    Article  Google Scholar 

  11. Rigo M, Reiter Ch, Weiss HR (2003) Effect of conservative management on the prevalence of surgery in patients with adolescent idiopathic scoliosis. Pediatr Rehabil 6:209–214

    CAS  Google Scholar 

  12. Pham VM, Houilliez A, Schill A, Carpentier A, Herbaux B, Thevenon A (2008) Study of the pressures applied by a Chêneau brace for correction of adolescent idiopathic scoliosis. Prosthet Orthot Int 32:345–355

    Article  CAS  Google Scholar 

  13. Kotwicki T, Cheneau J (2008) Biomechanical action of a corrective brace on thoracic idiopathic scoliosis: Cheneau 2000 orthosis. Disabil Rehabil Assist Technol 3(3):146–153; Review

    Article  Google Scholar 

  14. Kotwicki T, Cheneau J (2008) Passive and active mechanisms of correction of thoracic idiopathic scoliosis with a rigid brace. Stud Health Technol Inform 135:320–326; Review

    Google Scholar 

  15. Weiss HR, Dallmayer R, Gallo D (2006) Sagittal counter forces (SCF) in the treatment of idiopathic scoliosis: a preliminary report. Pediatr Rehabil 9:24–30

    Google Scholar 

  16. Rigo M, Weiss HR (2008) The Chêneau concept of bracing—biomechanical aspects. Stud Health Technol Inform 135:303–319

    Google Scholar 

  17. Weiss HR, Rigo M (2008) The Chêneau concept of bracing—actual standards. Stud Health Technol Inform 135:291–302

    Google Scholar 

  18. Lonstein JE, Winter RB (1994) The Milwaukee brace for the treatment of adolescent idiopathic scoliosis. A review of one thousand and twenty patients. J Bone Joint Surg Am 76:1207–1221

    CAS  Google Scholar 

  19. Upadhyay SS, Nelson IW, Ho EK, Hsu LC, Leong JC (1995) New prognostic factors to predict the final outcome of brace treatment in adolescent idiopathic scoliosis. Spine 20:537–545

    Article  CAS  Google Scholar 

  20. DiRaimondo CV, Green NE (1988) Brace-wear compliance in patients with adolescent idiopathic scoliosis. J Pediatr Orthop 8:143–146

    Article  CAS  Google Scholar 

  21. Hasler CC, Wietlisbach S, Büchler P (2010) Objective compliance of adolescent girls with idiopathic scoliosis in a dynamic SpineCor brace. J Child Orthop 4:211–218

    Article  Google Scholar 

  22. Rahman T, Borkhuu B, Littleton AG, Sample W, Moran E, Campbell S, Rogers K, Bowen JR (2010) Electronic monitoring of scoliosis brace wear compliance. J Child Orthop 4:343–347

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Pediatric Orthopaedic Surgery, Dana Children’s Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman St., Tel Aviv, 64239, Israel

    Dror Ovadia, Sharon Eylon, Avraham Mashiah, Shlomo Wientroub & Eduard David Lebel

  2. Affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Dror Ovadia, Sharon Eylon, Avraham Mashiah, Shlomo Wientroub & Eduard David Lebel

Authors
  1. Dror Ovadia
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  2. Sharon Eylon
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  3. Avraham Mashiah
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  4. Shlomo Wientroub
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  5. Eduard David Lebel
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Correspondence to Dror Ovadia.

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Ovadia, D., Eylon, S., Mashiah, A. et al. Factors associated with the success of the Rigo System Chêneau brace in treating mild to moderate adolescent idiopathic scoliosis. J Child Orthop 6, 327–331 (2012). https://doi.org/10.1007/s11832-012-0429-8

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  • DOI: https://doi.org/10.1007/s11832-012-0429-8

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