RSC Brace Presentation
Part of Dr. Rigo's original work, approved by Dr Rigo for education purposes, special permission for this website grantwoodortho.com use only. No reprint or use of this presentation is permitted without written premision from GrantWoodOrtho.com.
Dr. Rigo RSC Presentation
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Treatment indications
Cobb ^ > 30º in an immature
• Cobb angle 20º-29º in an immature patient according to the risk of progression (age, Cobb^, Risser, etc)
Some Cheneau brace studies.
Radiologic findings and curve progression 22 years after treatment for AIS: comparison of brace and surgical treatment with matching control group of straight individuals.
Danielsson AJ, Nachemson AL. Spine 2001; 26(5): 516-25
Health-related quality of life in patients with AIS: a matched follow-up at least 20 years after treatment with brace or surgery. Danielsson AJ, et al Eur Spine J 2001; 10(4): 278-88
Back pain and function 22 years after brace treatment for AIS: a case-control study-Part I.
Danielsson AJ, Nachemson AL. Spine 2003; 28(18): 2078-85
After more than 20 y since completition of the treatment, most of the curves did not increase. Patients treated for AIS were found to have approximately the same HRQL as the general population. Minimal pain and no dysfunction
Chêneau, J. (1990) Orthese de scoliose, 1st edition. Chêneau, J., Saint Orens. | |
17. | Chêneau, J. (1994) Corset-Chêneau. Manuel d´ortopedic des scolioses suivant la technique originale. Frison-Roche, Paris. |
18. | Chêneau, J. (1996a) Orthese de scoliose, 2nd edition. Chêneau, J., Saint Orens. |
19. | Chêneau, J. (1996b) Corsé corrector de escoliosis; principios y perspectivas. Técnica Ortopédica Internacional, 36, pp 123-132. |
20. | Chêneau, J., Rigo, M., García, J. (1997) 1st Workshop on the theory and practical aspects of the Chêneau brace. Instituto de Especialidades Ortopédicas, Sevilla. |
Dubousset, J. (1992) Importance of the three-dimensional concept in the treatment of scoliotic deformities. In: Dansereau, J. (ed.), International Symposium on 3D Scoliotic Deformities joined with the 7th International Symposium on Spinal Deformity and Surface Topography. Gustav Fischer Verlag, Ed, Germany, pp 302-311
Rigo, M. (1996) Influence of physiotherapy and bracing on the deformity of the trunk in patients with idiopathic scoliosis. Proceeding of the 2nd Société Internationale de Recherche et d’Etude sur le Rachis,.S.I.R.E.R. meeting, Barcelona. | |
86. | Rigo, M. (1997) Reconstrucción tridimensional de la columna vertebral a partir de la imagen topográfica de la superficie de la espalda. Instituto E. Salvá, Barcelona. |
87. | Rigo, M. (1999a) 3D correction of trunk deformity in patients with idiopathic scoliosis using a Chêneau brace. In: Stokes (ed.), Research into Spinal Deformities 2. Studies in Health, Technology and Informatics. IOS Press. Amsterdam, pp 362-365. |
88. | Rigo, M. (1999b) Conservative scoliosis treatment. Does the Chêneau brace change prognosis? Instituto E. Salvá, Barcelona. |
89. | Rigo, M. (1999c) El corsé de tipo Chêneau: Resultados preliminares. Société Internationale de Recherche et d’Etude sur le Rachis,.S.I.R.E.R, 8, pp 3-10. |
90. | Rigo, M. (2000) 3rd Workshop on the theory and practical aspects of the Chêneau brace. Instituto de Especialidades Ortopédicas, Sevilla. |
91. | Rigo, M., Chêneau, J. (1997), 2nd Orthotics Workshop on the Chêneau brace. Barcelona, Instituto E. Salvá. |
92. | Rigo, M., Chêneau, J. (2000), 3rd Orthotics Workshop on the Chêneau brace. Instituto E. Salva, Barcelona. |
93. | Rigo, M., Quera-Salvá, G., Puigdevall, N., Martínez, M. (2000) Retrospective results in immature idiopathic scoliosis patients treated with a Chêneau brace. Proceedings of the 3rd Meeting of the International Research Society of Spinal Deformities (IRSSD), Clermont-Ferrand. |
94. | Rigo, M., Wood, G.I. (2001a) The treatment of scoliosis with a hypercorrection TLSO- The Chêneau brace system, part 1, Barcelona. |
95. | Rigo, M., Wood, G.I. (2001b) The hypercorrection Chêneau brace system utilising the classification of King in the treatment of idiopathic scoliosis, part 2, Barcelona. |
96. | Riseborough, E.J., Wynne-Davies, R. (1973) A genetic survey of idiopathic scoliosis. Acta Orthop Scand, 50, pp 759-769. |
Bracing can prevent progression (changing the natural history of AIS), improve cosmesis and reduce the incidence of surgery
Moe JH, Kettleson D. J Bone Joint Surg Amm 1970 Salanova C. Rev Clin Orthop Reparatrice App Mot 1975 Keiser RP, Shufflebarger HL. Clin Orthop 1974 Edmonsson AS, Morris JT. Clin Orthop 1077 Mellencamp DD et al. Clin Orthop 1977 Carr W et al. J Bone Joint Surg Amm 1980 Kahanovitz N et al. Clin Orthop 1982 Heine J, Gotze HG. Z Orthop Ihre Grenzgeg 1985 Lonstein JE, Winter RB. J Bone Joint Surg Am 1994 Rowe DE et al ( Meta-analysis). J Bone Joint Surg Am 1997 Emans JB et al Spine 1986 Nachemson AL et al J Bone Joint Surg Am 1995 Grivas Th et al Pediatric Rehab 2003 Maruyama T et al. Pediatric Rehab 2003 Howar A et al Spine 1998 Montgomery F, Willner S. Acta Orthop Scand 1989 Wiley JW et al. Spine 2000 Wever DJ et al Clin Orthop Rel Res 2000 Wats RB et al Clin Orthop 1977 Uden A et al ActaOrthop Scand 1982 Willers eta al Spine 1003 Olafson Y et al J Pediatr Orthop 1995 Jonasson-Rajala E et al Clin Orthop 1984 Montgomery F et al J Pediatr Orthop 1990 Hopf C, Heine J. Z Orthop Ihre Grenzgeg 1985 Landauer et al. Pediatric Rehab 2003 Rigo M et al Stud Health Technol Inform 2002 Weiss HR et al. Pediatric Rehab 2003 Rigo M et al. Pediatric Rehab 2003 Weiss HR, Weiss GM. Pediatric Rehab 2005 Yrjonen T et al. Eur Spine J 2006 D’Amato CR et al Spine 2001 Price C et al. J Pediatr Orthop 1997 Katz DE et al Spine 1997 Gepstein R et al. J Pediatr Orthop 2002 Bowen JR et al Orthopedics 2001 Gabos PC et al J Bone Joint Surg Am 2004 Lenssink ML et al. Phys Ther 2005
These below stated that bracing does not work.
+Noonan KJ et al J Bone Joint Surg 1996 Goldberg CJ et al Spine 1993 Spoonamose MJ et al Spine 2004 Vijvermans SV et al J Pediatr Orthop 2004 Karol