(1) Orthopedic Rehabilitation Services, 'Gesundheitsforum Nahetal', Gensingen, Germany
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The use of a brace has become accepted as an effective way to treat idiopathic scoliosis. However, the effectiveness of today’s Chêneau treatment goes way beyond just controlling an increase in curvature during adolescence. In the meantime, it has been demonstrated that significant cosmetic corrections to torso asymmetry are possible even with curvatures above the 50° limit. According to the latest findings, the development in making Chêneau braces, from plaster models to CAD/CAM-based production, can help improve the standard of treatment. In particular, universal availability makes it possible for scoliosis sufferers to receive high-quality braces where they live even when there is no specialist in the vicinity.
This is a selective review of the literature with respect to the outcome of Chêneau brace treatment. Additionally the different CAD approaches as available today are presented and reviewed critically on the basis of current evidence.
With the CAD/CAM technique, it is possible to receive a brace of highest quality and best possible comfort within just a few days. Medical supply stores that are not very specialised will still have access to models that are standardised and tested in practice. However, individual CAD/CAM-based treatment without a time-tested brace library and without supervision by a specialist will not result in any advantages for the patients.