European braces widely used for conservative scoliosis treatment.
A systematic examination of the braces commonly used in Europe lacks in literature. Therefore the objective of this report is the description of the European braces widely used. The history, design rationale, indications, biomechanics, outcomes and comparison between some braces are reported. Chêneau Brace is used in France and other European Countries. There are two Cheneau derivatives, namely the Rigo System Cheneau Brace used in Spain and the ScoliOlogiC "Chêneau light" used in Germany. The Lyonnaise Brace is used in France and Italy. The Dynamic Derotating Brace DDB is used in Greece. The TriaC brace is applied in the Netherlands. The Sforzesco brace based on the SPoRT concept and the Progressive Action Short Brace PASB are used in Italy. Correction of spinal deformities is achieved in conservative treatment with passive and active brace mechanisms. The mode of operation of modern braces is in accordance with various principles of correction, namely active or passive extension with the aid of a neck ring and correction by lateral pads, lateral pressure according to 3 - point principle, compression, bending the trunk towards the opposite side, active bracing and correction by means of pressure exerted by bands during movement and by means of metallic blades. Recently there has been an effort to expand our insight on the biomechanics, the treatment management principles and the outcome description of the above mentioned braces. The peer review publications on these studies mandate the use of the SOSORT and SRS inclusion and assessment criteria for conservative scoliosis treatment.
Grivas
Theodoros B
TB
Department of Orthopaedics and Traumatology, Scoliosis Clinic, Tzanio General Hospital of Piraeus - NHS, Tzani & Afendouli str, 18536, Piraeus, Greece. grivastb@vodafone.net.gr
Kaspiris
Angelos
A
D001915:Braces / Q000145:classification* / Q000706:statistics & numerical data; D005060:Europe; D006801:Humans; D012600:Scoliosis / Q000628:therapy*