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Schroth Scoliosis & Spine Clinic

PRELIMINARY RESULTS FROM THE FIRST TRIALS OF THE GENSINGEN BRACE (BY Dr WEISS) IN GREECE

Preliminary results from the first trials of the Gensingen brace (by Dr Weiss) in Greece

Objective: The Gensingen brace is a new asymmetrical CAD/CAM Cheneau type brace, with very promising published results. In-brace correction and brace compliance are the strongest predictors of treatment success. The purpose of the study is to present the first in-brace results with Gensingen brace in Greece.

Material and Methods: Case series. In-brace x-rays for the first 6 patients (5 females-1 male, mean age 13.5, Risser 1.83, Cobb Th 51.8ο–Lu 44.2ο, 5 double major-1 Thoracolumbar scoliosis) used Gensingen brace were measured by a Schroth certified physiotherapist and compared with the results already published. Compliance was self-reported.

Results: Average in-brace correction for the whole sample was 31.8% for thoracic and 40% for lumbar curves, while compliance exceeded 90%. However, 3 of the patients were out of the range of brace indications (Cobb 25ο–45ο,SRS guidelines) having severe scoliosis. A further analysis for the 3 cases with a typical bracing indication (mean Cobb Th 39ο – Lu 32ο) revealed a significantly better correction, 49.9% for thoracic and 58.8% for lumbar curves. These results are comparable with the published by Weiss, who reported a 66% in-brace correction in a sample of 21 patients (mean age 12.2, Risser 0.38, Cobb 31.3ο).

Conclusions: The preliminary results showed that the Gensingen brace can effectively be used in the treatment of Adolescent Idiopathic Scoliosis, even in severe cases. The excellent in-brace corrections, the patient’s comfort and the compatibility with the Schroth method of physiotherapy, which educates the patient’s three-dimensional auto-correction into daily life activities, promise beneficial end result.

 

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