outcome of rigo-chêneau type brace treatment for adolescent idiopathic scoliosis - using the...

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ORAL PRESENTATION Open Access Outcome of Rigo-Chêneau type brace treatment for adolescent idiopathic scoliosis - using the Scoliosis Research Society brace studies inclusion criteria T Maruyama * , H Yamada, Y Nakao From 9th International Conference on Conservative Management of Spinal Deformities - SOSORT 2012 Annual Meeting Milan, Italy. 10-12 May 2012 Background We have been using Rigo-Chêneau type brace for the treatment of idiopathic scoliosis since 2007. Curves other than the upper thoracic main curve were the sub- jects of the treatment. To analyze the outcomes of the brace treatment, use of the standardized inclusion cri- teria is essential. Aim To evaluate outcomes of Rigo-Chêneau type brace treat- ment using the Scoliosis Research Society (SRS) AIS brace studies inclusion criteria, which includes patients with age 10 years or older when the brace is prescribed, Risser 0-II, primary curve magnitude 25°-40°, and no prior treatment. Results A total of 32 patients, 27 females and 5 males, met the SRS inclusion criteria. Average age at the beginning of the treatment was 12.0 years (10 to 15). Risser sign was 0 in13, I in 7, and II in 12 patients. Curve pattern was thoracic (T) in 12, thoracolumbar or lumbar (TL) in 12 and double (D) in 8 patients. Average Cobb angle before treatment was 30.9°. Initial correction rate by the brace was 53.5% on an average (42.4% for T, 77.4% for TL, and 34.8% for D curve). Most patients wore their brace as part-time, at home or at night. The average follow-up period was 19 months. Of 32 patients, 15 reached skele- tal maturity during the treatment period. Four of them (27%) progressed more than 6°, and two of them (13%) exceed 45°. Only one patient underwent surgical treat- ment during the study period. Conclusion Although the number of patients who reached skeletal maturity was relatively small, 73% of their curve could be stabilized by the treatment. Rigo-Chêneau type brace was effective for the treatment of adolescent idiopathic scoliosis. Published: 3 June 2013 Reference 1. Richards BS, Bernstein RM, DAmato CR, Thompson GH: Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management. Spine 2005, 30(18):2068-2075, discussion 2076-2067. doi:10.1186/1748-7161-8-S1-O44 Cite this article as: Maruyama et al.: Outcome of Rigo-Chêneau type brace treatment for adolescent idiopathic scoliosis - using the Scoliosis Research Society brace studies inclusion criteria. Scoliosis 2013 8(Suppl 1):O44. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit Dept of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan Maruyama et al. Scoliosis 2013, 8(Suppl 1):O44 http://www.scoliosisjournal.com/content/8/S1/O44 © 2013 Maruyama et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Page 1: Outcome of Rigo-Chêneau type brace treatment for adolescent idiopathic scoliosis - using the Scoliosis Research Society brace studies inclusion criteria

ORAL PRESENTATION Open Access

Outcome of Rigo-Chêneau type brace treatment foradolescent idiopathic scoliosis - using the ScoliosisResearch Society brace studies inclusion criteriaT Maruyama*, H Yamada, Y Nakao

From 9th International Conference on Conservative Management of Spinal Deformities - SOSORT 2012Annual MeetingMilan, Italy. 10-12 May 2012

BackgroundWe have been using Rigo-Chêneau type brace for thetreatment of idiopathic scoliosis since 2007. Curvesother than the upper thoracic main curve were the sub-jects of the treatment. To analyze the outcomes of thebrace treatment, use of the standardized inclusion cri-teria is essential.

AimTo evaluate outcomes of Rigo-Chêneau type brace treat-ment using the Scoliosis Research Society (SRS) AISbrace studies inclusion criteria, which includes patientswith age 10 years or older when the brace is prescribed,Risser 0-II, primary curve magnitude 25°-40°, and noprior treatment.

ResultsA total of 32 patients, 27 females and 5 males, met theSRS inclusion criteria. Average age at the beginning ofthe treatment was 12.0 years (10 to 15). Risser sign was0 in13, I in 7, and II in 12 patients. Curve pattern wasthoracic (T) in 12, thoracolumbar or lumbar (TL) in 12and double (D) in 8 patients. Average Cobb angle beforetreatment was 30.9°. Initial correction rate by the bracewas 53.5% on an average (42.4% for T, 77.4% for TL,and 34.8% for D curve). Most patients wore their braceas part-time, at home or at night. The average follow-upperiod was 19 months. Of 32 patients, 15 reached skele-tal maturity during the treatment period. Four of them(27%) progressed more than 6°, and two of them (13%)

exceed 45°. Only one patient underwent surgical treat-ment during the study period.

ConclusionAlthough the number of patients who reached skeletalmaturity was relatively small, 73% of their curve couldbe stabilized by the treatment. Rigo-Chêneau type bracewas effective for the treatment of adolescent idiopathicscoliosis.

Published: 3 June 2013

Reference1. Richards BS, Bernstein RM, D’Amato CR, Thompson GH: Standardization of

criteria for adolescent idiopathic scoliosis brace studies: SRS Committeeon Bracing and Nonoperative Management. Spine 2005, 30(18):2068-2075,discussion 2076-2067.

doi:10.1186/1748-7161-8-S1-O44Cite this article as: Maruyama et al.: Outcome of Rigo-Chêneau type bracetreatment for adolescent idiopathic scoliosis - using the Scoliosis ResearchSociety brace studies inclusion criteria. Scoliosis 2013 8(Suppl 1):O44.

Submit your next manuscript to BioMed Centraland take full advantage of:

• Convenient online submission

• Thorough peer review

• No space constraints or color figure charges

• Immediate publication on acceptance

• Inclusion in PubMed, CAS, Scopus and Google Scholar

• Research which is freely available for redistribution

Submit your manuscript at www.biomedcentral.com/submitDept of Orthopaedic Surgery, Saitama Medical Center, Saitama Medical

University, Saitama, Japan

Maruyama et al. Scoliosis 2013, 8(Suppl 1):O44http://www.scoliosisjournal.com/content/8/S1/O44

© 2013 Maruyama et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the CreativeCommons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, andreproduction in any medium, provided the original work is properly cited.