Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Spine
Abstract number: 25703
BRACE TREATMENT BY CHĂ NEAU TECHNOLOGY TYPE APPLICATION IN
PATIENTS WITH IDIOPATHIC SCOLIOSIS
Darya TESAKOVA 1 , Dmitry TESAKOV 1 , Alexander BELETSKY 1 , Sergey ALZOBA 2 ,
Ivan VOLKOV 2
1 Republic Scientific Practical Center of Traumathology and Orthopaedics, Minsk
(BELARUS), 2 Belorussian Prosthetic-Orthopaedic reconstructive center, Minsk
(BELARUS)
The aim of the research was to estimate the efficiency of brace treatment by
Chêneau technology type in patients with idiopathic scoliosis (IS) and to definite the
clinical possibilities of method. Clinical and roentgenological results of 976 patients
with IS were studied. At the beginning of the treatment patients were at the age of 5-
17 years with bone growth maturity at stages R-0 - R-IV and S-0 - S-III by J.C.Risser
and V.I. Sadof’eva tests accordingly. The deformity arches by J.R.Cobb initially was
18º-25º in 109 patients, 26º-40º in 450 and 41º-160º in 417. Treatment has been
divided into the periods: brace adaptation (by 2 month), primary correction (2-6
months), brace deduction (2-9 years), corset cancellation (has began at the stage of
bone maturity R-V and S-V), further supervision (1-7 years). The patients supervision
general term has been 4-12 years. The results have shown that brace treatment
allows to eliminate, reduce or stabilize scoliotic deformity, and in patients with
aggressive forms of IS to constrain pathological process conservatively before the
spine bone growth end. Application of the brace method in growing patients with
initially surgical spine deformity parameters (the basic arch above 40 °) has shown its
high-grade alternative to the operative treatment. Depending on individual aggression
features of IS brace treatment was simultaneously used as conservative correction
and restraint of deformity progress, and as the prolonged preparation for the
deformity surgery in the period of patient spine bone growth optimum.
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