BACKGROUND Scheuermann's disease is regarded as the most common cause of structural hyperkyphosis within adolescents without any proper treatment. It may lead to progressive deformity and back pain which influences patient's quality of life during adolescence and adulthood. Treatment approach to Scheuermann's kyphosis has not been clearly defined due to its different definitions and obscure nat...

Materials and methods We studied the clinical outcomes in 380 consecutive scoliosis patients (age range 10 to 18 years old) treated using a Cheneau brace. Psychological, psychosomatic and psycho-physiological symptoms were analyzed. Psychological therapy included cognitive and expositional therapy, art-therapy and group therapy. The psychological assessment was performed using a questionnaire b...

Results A Cochrane analysis of existing data on corsets was published in 2008, but only 7 studies on prevention and 8 studies of treatment were analyzed in terms of the effect of this treatment on pain. The conclusions were not made by analysis of data concerning the tolerance or the possible side effects connected to wearing the brace. Biot indeed brings back the history of the orthopaedic tre...

STUDY DESIGN Prospective comparison of the survival rates of two different bracing concepts with respect to curve progression and duration of treatment during pubertal growth spurt in two cohorts of patients followed up prospectively. OBJECTIVES To determine whether the results obtained by the use of a soft brace (SpineCor) is comparable to the results of the Chêneau derived TLSO during puber...

BACKGROUND The effectiveness of orthotic treatment continues to be controversial in international medical literature due to differences in the reported results and conclusions of various studies. Heterogeneity of the samples has been suggested as a reason for conflicting results. Besides the obvious theoretical differences between the brace concepts, the variability in the technical factors can...

Orthotic treatment of infantile scoliosis represents a challenge: 1. Most of them are progressive 2. Different etiologies 3. Associated diseases 4. Smaller size anatomy 5. Immature rib cage Types: 1. Braces • Do not provide immediate correction • Treatment aimed to “hold” the spine and prevent further progression • Risk of chest deformity in case of braces constricting the thorax • Literature d...

BACKGROUND Pre-pubertal idiopathic scoliosis (IS) is associated with high risk of bracing ineffectiveness. Integrated multidimensional maturity assessments are useful but complex to predict the high-risk occurrence of curve progression. This study is designed to provide a simple screening method for brace effectiveness by determining whether or not the braced curve behavior at growth spurt, bei...

We treated 98 consecutive patients with Perthes' disease by a unilateral brace in external rotation, flexion and abduction and a further consecutive 110 by a bilateral cast with the hips in internal rotation and abduction. During treatment in the unilateral brace, six (6.1%) hips on the opposite side developed evidence of Perthes' disease and one developed this after the brace had been removed....

BACKGROUND Unloading knee braces can provide good short-term pain relief for some patients with unicompartmental osteoarthritis (UOA). Their cost is relatively small compared with surgical interventions. However, no previous studies have reported their use over a duration of 5 years or more. METHODS Up to 8 years of prospective data were collected from 63 patients who presented with UOA. Afte...