Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS)
Chêneau-brace is an effective therapy tool for treatment in adolescent idiopathic scoliosis (AIS). Data on potential interdependent changes of the sagittal profile including the cervical spine are still sparse. The purpose of this study was to evaluate in-brace changes of the thoracic and lumbar spi...
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| Format: | Article |
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MDPI AG
2021-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/9/1849 |
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| author | Wojciech Pepke Aly El Zeneiny Haidara Almansour Thomas Bruckner Stefan Hemmer Michael Akbar |
| author_facet | Wojciech Pepke Aly El Zeneiny Haidara Almansour Thomas Bruckner Stefan Hemmer Michael Akbar |
| author_sort | Wojciech Pepke |
| collection | DOAJ |
| description | Chêneau-brace is an effective therapy tool for treatment in adolescent idiopathic scoliosis (AIS). Data on potential interdependent changes of the sagittal profile including the cervical spine are still sparse. The purpose of this study was to evaluate in-brace changes of the thoracic and lumbar spine and their influence on the pelvis and the cervical spine and apical vertebral rotation was reported. Ninety-three patients with AIS undergoing Chêneau-bracing were included. Patients were stratified by lumbar, thoracic and global spine alignment into normolordotic vs. hyperlordotic or normokyphotic vs. hypokyphotic or anteriorly aligned vs. posteriorly aligned groups. The coronal Cobb angle was significantly decreased in all groups indicating good correction while in-brace therapy. Sagittally, in-brace treatment led to significant flattening of lumbar lordosis (LL) in all stratified groups. Thoracic kyphosis (TK) was significantly flattened in the normokyphotic group, but no TK changes were noticed in the hypokyphotic group. Pelvic tilt (PT) stayed unchanged during the in-brace therapy. Chêneau-brace showed marginal changes in the lower cervical spine but had no influence on the upper cervical spine. The apical vertebral axis in primary and secondary curves was unchanged during the first radiological follow-up. Results from this study contribute to better understanding of initial spine behavior in sagittal and axial plane in the context of bracing. |
| first_indexed | 2024-03-10T12:00:52Z |
| format | Article |
| id | doaj.art-6043ee190c2d473faeabf38bcfe5587d |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T12:00:52Z |
| publishDate | 2021-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-6043ee190c2d473faeabf38bcfe5587d2023-11-21T16:56:07ZengMDPI AGJournal of Clinical Medicine2077-03832021-04-01109184910.3390/jcm10091849Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS)Wojciech Pepke0Aly El Zeneiny1Haidara Almansour2Thomas Bruckner3Stefan Hemmer4Michael Akbar5Clinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, 69118 Heidelberg, GermanyClinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, 69118 Heidelberg, GermanyDepartment of Diagnostic and Interventional Radiology, Eberhard-Karls University, 72076 Tuebingen, GermanyInstitute of Medical Biometry and Informatics, University of Heidelberg, 69120 Heidelberg, GermanyClinic for Orthopedics and Trauma Surgery, Heidelberg University Hospital, 69118 Heidelberg, GermanyClinic for Spine Diseases and Therapies, Meoclinic, 10117 Berlin, GermanyChêneau-brace is an effective therapy tool for treatment in adolescent idiopathic scoliosis (AIS). Data on potential interdependent changes of the sagittal profile including the cervical spine are still sparse. The purpose of this study was to evaluate in-brace changes of the thoracic and lumbar spine and their influence on the pelvis and the cervical spine and apical vertebral rotation was reported. Ninety-three patients with AIS undergoing Chêneau-bracing were included. Patients were stratified by lumbar, thoracic and global spine alignment into normolordotic vs. hyperlordotic or normokyphotic vs. hypokyphotic or anteriorly aligned vs. posteriorly aligned groups. The coronal Cobb angle was significantly decreased in all groups indicating good correction while in-brace therapy. Sagittally, in-brace treatment led to significant flattening of lumbar lordosis (LL) in all stratified groups. Thoracic kyphosis (TK) was significantly flattened in the normokyphotic group, but no TK changes were noticed in the hypokyphotic group. Pelvic tilt (PT) stayed unchanged during the in-brace therapy. Chêneau-brace showed marginal changes in the lower cervical spine but had no influence on the upper cervical spine. The apical vertebral axis in primary and secondary curves was unchanged during the first radiological follow-up. Results from this study contribute to better understanding of initial spine behavior in sagittal and axial plane in the context of bracing.https://www.mdpi.com/2077-0383/10/9/1849adolescent idiopathic scoliosisChêneaubraceCobb anglesagittal alignmentcervical spine |
| spellingShingle | Wojciech Pepke Aly El Zeneiny Haidara Almansour Thomas Bruckner Stefan Hemmer Michael Akbar Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS) Journal of Clinical Medicine adolescent idiopathic scoliosis Chêneau brace Cobb angle sagittal alignment cervical spine |
| title | Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS) |
| title_full | Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS) |
| title_fullStr | Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS) |
| title_full_unstemmed | Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS) |
| title_short | Influence of Chêneau-Brace Therapy on Lumbar and Thoracic Spine and Its Interdependency with Cervical Spine Alignment in Patients with Adolescent Idiopathic Scoliosis (AIS) |
| title_sort | influence of cheneau brace therapy on lumbar and thoracic spine and its interdependency with cervical spine alignment in patients with adolescent idiopathic scoliosis ais |
| topic | adolescent idiopathic scoliosis Chêneau brace Cobb angle sagittal alignment cervical spine |
| url | https://www.mdpi.com/2077-0383/10/9/1849 |
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