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"Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis.

Weiss HR - Scoliosis (2010)

Bottom Line: A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately.As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1 Orthopedic Rehabilitation Services, D-55457 Gensingen, Alzeyerstr, 23, Germany. hr.weiss@skoliose-dr-weiss.com.

ABSTRACT

Background: Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.

Brace description: This CAD/CAM Chêneau derivate has been called Gensingen brace™, a brace available to address all possible curve patterns. Once the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by (1) modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by (2) choosing a brace model from our library and re-size it to the patients' properties 'on screen'.

Results: End-result studies have been published on the Chêneau brace as early as 1985. Cohort studies on the Chêneau brace are available as is a prospective controlled study respecting the SRS criteria for bracing studies, demonstrating beneficial outcomes, when compared to the controls using a soft brace. Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately. As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well. Case reports with high in-brace corrections, as shown within this paper using the Gensingen brace™ promise beneficial outcomes when a good compliance can be achieved.

Conclusions: The use of the Gensingen brace™ leads to sufficient in-brace corrections, when compared to the correction effects achieved with other braces, as described in literature.According to the patients' reports, the Gensingen brace™ is comfortable to wear, when adjusted properly.Further studies are necessary (1) in order to evaluate brace comfort and (2) effectiveness using the SRS inclusion criteria.

No MeSH data available.


Related in: MedlinePlus

10-year old boy with EOS (early onset scoliosis) in his first Gensingen brace™. Clinically in this boy the flatback is clearly visible. The trunk is rather balanced because of the re-compensation of the 39° thoracic curve by a structural high thoracic counter curve. The curve is very stiff and has a bad prognosis, which can be estimated from the x-ray: In the apical area of the thoracic curve a significant wedging of the vertebra is visible. Nevertheless the curve has been corrected to 18° in the brace, which is sufficient considering the fact that double thoracic and EOS curves cannot be corrected as easy as single thoracic curves in patients with AIS. The foam pad location is marked on the in-brace x-ray with wire as is the longitudinal width of the thoracic pad.
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Figure 12: 10-year old boy with EOS (early onset scoliosis) in his first Gensingen brace™. Clinically in this boy the flatback is clearly visible. The trunk is rather balanced because of the re-compensation of the 39° thoracic curve by a structural high thoracic counter curve. The curve is very stiff and has a bad prognosis, which can be estimated from the x-ray: In the apical area of the thoracic curve a significant wedging of the vertebra is visible. Nevertheless the curve has been corrected to 18° in the brace, which is sufficient considering the fact that double thoracic and EOS curves cannot be corrected as easy as single thoracic curves in patients with AIS. The foam pad location is marked on the in-brace x-ray with wire as is the longitudinal width of the thoracic pad.

Mentions: After the necessary improvements have been made, the patient is scheduled for the next appointment in 6 weeks in order to have a clinical check-up and the in-brace x-ray completed using pad markers (Fig. 11, 12, 13).


"Brace technology" thematic series - the Gensingen brace™ in the treatment of scoliosis.

Weiss HR - Scoliosis (2010)

10-year old boy with EOS (early onset scoliosis) in his first Gensingen brace™. Clinically in this boy the flatback is clearly visible. The trunk is rather balanced because of the re-compensation of the 39° thoracic curve by a structural high thoracic counter curve. The curve is very stiff and has a bad prognosis, which can be estimated from the x-ray: In the apical area of the thoracic curve a significant wedging of the vertebra is visible. Nevertheless the curve has been corrected to 18° in the brace, which is sufficient considering the fact that double thoracic and EOS curves cannot be corrected as easy as single thoracic curves in patients with AIS. The foam pad location is marked on the in-brace x-ray with wire as is the longitudinal width of the thoracic pad.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2967515&req=5

Figure 12: 10-year old boy with EOS (early onset scoliosis) in his first Gensingen brace™. Clinically in this boy the flatback is clearly visible. The trunk is rather balanced because of the re-compensation of the 39° thoracic curve by a structural high thoracic counter curve. The curve is very stiff and has a bad prognosis, which can be estimated from the x-ray: In the apical area of the thoracic curve a significant wedging of the vertebra is visible. Nevertheless the curve has been corrected to 18° in the brace, which is sufficient considering the fact that double thoracic and EOS curves cannot be corrected as easy as single thoracic curves in patients with AIS. The foam pad location is marked on the in-brace x-ray with wire as is the longitudinal width of the thoracic pad.
Mentions: After the necessary improvements have been made, the patient is scheduled for the next appointment in 6 weeks in order to have a clinical check-up and the in-brace x-ray completed using pad markers (Fig. 11, 12, 13).

Bottom Line: A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately.As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well.

View Article: PubMed Central - HTML - PubMed

Affiliation: 1 Orthopedic Rehabilitation Services, D-55457 Gensingen, Alzeyerstr, 23, Germany. hr.weiss@skoliose-dr-weiss.com.

ABSTRACT

Background: Bracing concepts in use today for the treatment of scoliosis include symmetric and asymmetric hard braces usually made of polyethylene (PE) and soft braces. A new asymmetric Chêneau style CAD/CAM derivate has been designed to overcome problems the author experienced with other Chêneau CAD/CAM systems over the recent years.

Brace description: This CAD/CAM Chêneau derivate has been called Gensingen brace™, a brace available to address all possible curve patterns. Once the patients' trunk is scanned with the help of a whole trunk optical 3D-scan and the patients' data from the clinical measurements are recorded, a model of the brace can be created by (1) modifying the trunk model of the patient 'on screen' to achieve a very individual brace model using the CAD/CAM tools provided or by (2) choosing a brace model from our library and re-size it to the patients' properties 'on screen'.

Results: End-result studies have been published on the Chêneau brace as early as 1985. Cohort studies on the Chêneau brace are available as is a prospective controlled study respecting the SRS criteria for bracing studies, demonstrating beneficial outcomes, when compared to the controls using a soft brace. Sufficient in-brace correction effects have been demonstrated to be achievable when the Chêneau principles of correction are used appropriately. As there is a positive correlation between in-brace correction and the final outcome, the Chêneau concept of bracing with sufficient in-brace corrections as published can be regarded as being efficient when applied well. Case reports with high in-brace corrections, as shown within this paper using the Gensingen brace™ promise beneficial outcomes when a good compliance can be achieved.

Conclusions: The use of the Gensingen brace™ leads to sufficient in-brace corrections, when compared to the correction effects achieved with other braces, as described in literature.According to the patients' reports, the Gensingen brace™ is comfortable to wear, when adjusted properly.Further studies are necessary (1) in order to evaluate brace comfort and (2) effectiveness using the SRS inclusion criteria.

No MeSH data available.


Related in: MedlinePlus