title: Evaluation of the treatment of pectus carinatum with compressive orthotic bracing using three dimensional body scans.
abstract: OBJECTIVE
  The purpose of this study is to measure the effectiveness of compressive orthotic brace therapy for the treatment of pectus carinatum using an adjusted Haller Index (HI) measurement calculated from 3D body scan (BS) images.
  
  
  METHODS
  Pediatric patients with pectus carinatum were treated with either compressive orthotic bracing or observation. An adjusted BS Haller index (HI) was calculated from serial 3D BS images obtained on all patients. Medical records were evaluated to determine treatment with bracing and brace compliance more than 12hours daily. Compliant patient measurements were compared to non-compliant and non-brace groups.
  
  
  RESULTS
  Forty patients underwent compressive orthotic bracing, while ten were observed. Twenty-three patients were compliant with bracing, and seventeen patients were non-compliant. Compliant patients exhibited an 8.2% increase, non-compliant patients had a 1.5% increase, and non-brace patients exhibited a 2.5% increase in BS HI. The change in BS HI of compliant patients was significantly different compared to non-brace patients (p=0.004) and non-compliant patients (p<0.001).
  
  
  CONCLUSIONS
  Three dimensional BS is an effective, radiation free, and objective means to evaluate patients treated with compressive orthotic bracing.
authors.affiliation: Baystate Children's Hospital, Springfield, MA; Shriners Hospitals for Children, Springfield, MA. Electronic address: kaitlyn.wong@baystatehealth.org.
authors.forename: Kaitlyn E
authors.initials: KE
authors.lastname: Wong
authors.affiliation: Shriners Hospitals for Children, Springfield, MA.
authors.forename: George E
authors.initials: GE
authors.lastname: Gorton
authors.affiliation: Baystate Children's Hospital, Springfield, MA; Shriners Hospitals for Children, Springfield, MA.
authors.forename: David B
authors.initials: DB
authors.lastname: Tashjian
authors.affiliation: Baystate Children's Hospital, Springfield, MA; Shriners Hospitals for Children, Springfield, MA.
authors.forename: Michael V
authors.initials: MV
authors.lastname: Tirabassi
authors.affiliation: Baystate Children's Hospital, Springfield, MA; Shriners Hospitals for Children, Springfield, MA.
authors.forename: Kevin P
authors.initials: KP
authors.lastname: Moriarty
mesh_terms: D001915:Braces; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008297:Male; D010349:Patient Compliance; D066166:Pectus Carinatum / Q000175:diagnosis / Q000628:therapy*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
keywords: 3D body scan; Compressive orthotic bracing; Pectus carinatum