Article

In-brace correction and compliance are the main predictors of a successful
outcome of brace treatment in the management of patients with idiopathic
scoliosis. The latest CAD/CAM- or module-based bracing concepts related to a
proper classification have led to better in-brace corrections and have made the
braces easier to wear for the patient. However, even the latest developments on
the market do not ensure successful treatment in every case. Thoracic curves with
Cobb angles less than 50 degrees may be treated with the best likelihood of
success utilizing the latest Cheneau derivates, enabling a real 3D correction
that includes sagittal correction of the spine, when patient compliance can be
achieved. The successful application of the braces demands a proper
classification of curve patterns. The percentage of in-brace correction of the
Cobb angle correlates with the end result and consequently is a good indicator
for brace quality. However, other factors, such as 3D correction or the absolute
reduction of the Cobb angle (i.e., in rigid curves over 50 degrees ), might also be important indicators.

Langue : ANGLAIS