Ist eine Verbesserung der Behandlungssicherheit in der Korsettversorgung von Skoliosepatienten durch Anwendung standardisierter CAD-Algorithmen möglich?

BACKGROUND: The treatment of scoliosis patients with corrective braces today still leads to quite different results. The published success rates between 50 and 90% inevitably lead to the question of how the success rates of brace treatment can be increased and standardized. The results of a computer aided design (CAD) Chêneau application, developed with this objective, are presented. MATERIALS AND METHODS: On the reporting date (December 8, 2019), the prospectively created database of our department was evaluated retrospectively. Only immature girls with adolescent idiopathic scoliosis (AIS), aged 10–14 years, Risser signs 0–2, were included in the database. RESULTS: Both the entire group with an observation period of at least 18 months and the patient groups with completed treatment had success rates between 86 and 88%. Overall, the results were significantly better than the 72% success rate of the Boston Brace Control Group (BRAIST). In comparison with the results of other Chêneau derivatives, the success rate of our series was distinctly better. CONCLUSIONS: Treatment safety in brace treatment for patients with scoliosis should be improved. One approach may be the use of standardized CAD libraries. Further investigations with study designs of higher evidence are necessary to support the results found in our investigation.