Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing?
Background: The results of 12 h nighttime Cheneau–Toulouse–Munster (CTM) brace wear on adolescent idiopathic scoliosis are poorly described. Objective: The main objective was to analyze the efficiency of 12 h nighttime CTM brace wear on adolescent idiopathic scoliosis. The secondary objective was to...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/9/6/909 |
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| author | Gautier De Chelle Virginie Rampal Imad Bentellis Arnaud Fernandez Carlo Bertoncelli Jean-Luc Clément Federico Solla |
| author_facet | Gautier De Chelle Virginie Rampal Imad Bentellis Arnaud Fernandez Carlo Bertoncelli Jean-Luc Clément Federico Solla |
| author_sort | Gautier De Chelle |
| collection | DOAJ |
| description | Background: The results of 12 h nighttime Cheneau–Toulouse–Munster (CTM) brace wear on adolescent idiopathic scoliosis are poorly described. Objective: The main objective was to analyze the efficiency of 12 h nighttime CTM brace wear on adolescent idiopathic scoliosis. The secondary objective was to identify the factors influencing good results. Methods: One hundred and fifty consecutive patients treated between 2006 and 2017 were retrospectively analyzed with subgroup analysis for the main curve pattern (main thoracic or main lumbar). The inclusion criteria were evolutive scoliosis, 12 h nighttime CTM brace wear, Risser stages 0-1-2 at the time of the prescription, and Cobb angle below 45 degrees. Success was defined as no surgery, and the main curve Cobb angle (CA) progression ≤5°. The overcurve was defined as the proximal thoracic curve above the main thoracic and mid-thoracic above the main lumbar curves. A logistic regression model was built to assess the predictors of success. RESULTS: Overall success was 70%: 60% for main thoracic (MT) and 84% for main lumbar scoliosis (ML) (<i>p</i> = 0.003). Efficacy was 62% at Risser stage 0 and 78% at Risser stage 1–2 (<i>p</i> = 0.054). For MT, failure was associated with high in-brace sagittal C7 tilt (Odds Ratio = 0.72, <i>p</i> = 0.014) and low initial overcurve CA (Odds Ratio = 0.42, <i>p</i> = 0.044). For ML, a high standing height was associated with success (OR = 1.42, <i>p</i> = 0.035), and frontal unbalanced C7 tilt was associated with failure (OR = 0.43, <i>p</i> = 0.02). Conclusion: Twelve-hour nighttime CTM brace wear provided good results for main lumbar curves with balanced frontal C7 tilt. For MT, this treatment is indicated if the in-brace sagittal C7 tilt is well balanced from Risser stage 2. |
| first_indexed | 2024-03-10T00:06:58Z |
| format | Article |
| id | doaj.art-29e92513dcaa445eb172f78c3419208c |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-10T00:06:58Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-29e92513dcaa445eb172f78c3419208c2023-11-23T16:06:52ZengMDPI AGChildren2227-90672022-06-019690910.3390/children9060909Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing?Gautier De Chelle0Virginie Rampal1Imad Bentellis2Arnaud Fernandez3Carlo Bertoncelli4Jean-Luc Clément5Federico Solla6Paediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, FrancePaediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, FranceUrology Unit, CHU, 30 Voie Romaine, 06000 Nice, FranceChildren’s Psychiatry, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, FrancePaediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, FrancePaediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, FrancePaediatric Orthopaedic Unit, Lenval Foundation, 57, Avenue de la Californie, 06200 Nice, FranceBackground: The results of 12 h nighttime Cheneau–Toulouse–Munster (CTM) brace wear on adolescent idiopathic scoliosis are poorly described. Objective: The main objective was to analyze the efficiency of 12 h nighttime CTM brace wear on adolescent idiopathic scoliosis. The secondary objective was to identify the factors influencing good results. Methods: One hundred and fifty consecutive patients treated between 2006 and 2017 were retrospectively analyzed with subgroup analysis for the main curve pattern (main thoracic or main lumbar). The inclusion criteria were evolutive scoliosis, 12 h nighttime CTM brace wear, Risser stages 0-1-2 at the time of the prescription, and Cobb angle below 45 degrees. Success was defined as no surgery, and the main curve Cobb angle (CA) progression ≤5°. The overcurve was defined as the proximal thoracic curve above the main thoracic and mid-thoracic above the main lumbar curves. A logistic regression model was built to assess the predictors of success. RESULTS: Overall success was 70%: 60% for main thoracic (MT) and 84% for main lumbar scoliosis (ML) (<i>p</i> = 0.003). Efficacy was 62% at Risser stage 0 and 78% at Risser stage 1–2 (<i>p</i> = 0.054). For MT, failure was associated with high in-brace sagittal C7 tilt (Odds Ratio = 0.72, <i>p</i> = 0.014) and low initial overcurve CA (Odds Ratio = 0.42, <i>p</i> = 0.044). For ML, a high standing height was associated with success (OR = 1.42, <i>p</i> = 0.035), and frontal unbalanced C7 tilt was associated with failure (OR = 0.43, <i>p</i> = 0.02). Conclusion: Twelve-hour nighttime CTM brace wear provided good results for main lumbar curves with balanced frontal C7 tilt. For MT, this treatment is indicated if the in-brace sagittal C7 tilt is well balanced from Risser stage 2.https://www.mdpi.com/2227-9067/9/6/909idiopathic scoliosisnighttime bracingbraceCTMCheneau bracepredictive factor |
| spellingShingle | Gautier De Chelle Virginie Rampal Imad Bentellis Arnaud Fernandez Carlo Bertoncelli Jean-Luc Clément Federico Solla Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing? Children idiopathic scoliosis nighttime bracing brace CTM Cheneau brace predictive factor |
| title | Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing? |
| title_full | Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing? |
| title_fullStr | Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing? |
| title_full_unstemmed | Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing? |
| title_short | Adolescent and Juvenile Idiopathic Scoliosis: Which Patients Obtain Good Results with 12 Hours of Cheneau–Toulouse–Munster Nighttime Bracing? |
| title_sort | adolescent and juvenile idiopathic scoliosis which patients obtain good results with 12 hours of cheneau toulouse munster nighttime bracing |
| topic | idiopathic scoliosis nighttime bracing brace CTM Cheneau brace predictive factor |
| url | https://www.mdpi.com/2227-9067/9/6/909 |
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