Use of torso orthoses in the treatment of congenital spinal deformities: A literature review

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Abstract

BACKGROUND: Congenital malformations of the spine require urgent treatment, despite the popularity of this problem. The choice of the term and method of surgical treatment of congenital spinal deformities with vertebral malformations does not have diametrically opposed views in the domestic and foreign literature, but the scientific discussion continues regarding the use of orthotics. Currently, several designs of orthoses on the trunk are known worldwide, which can be used not only for idiopathic but also for congenital scoliosis. А unified view of the use of this type of complex treatment is necessary, but there are opposite opinions in the scientific literature.

AIM: This study aimed to analyze publications that present the use of torso orthoses in the treatment of congenital malformations of the spine.

MATERIALS AND METHODS: We searched for data in the open electronic databases of PubMed and e-LIBRARY using the following keywords and phrases: congenital deformity of the spine, congenital scoliosis, orthosis, and effectiveness of orthosis. The search covered 30 years of literature.

RESULTS: Several authors have reported a significant correction of the congenital curves using orthotics, but this issue has not been sufficiently studied and is still at the research stage. Some specialists consider the formation or progression after the operation of compensatory counter-curve above or below the established metal structure, which can be corrected not only by repeated surgery, but also by using orthoses.

CONCLUSIONS: There is a clear trend toward complex treatment of children with isolated congenital malformations of the spine, including a reasonable combination of surgical treatment and orthotics. In Europe and Russia, preference is given to the Rigo system Cheneau brace.

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About the authors

Ignatij А. Redchenko

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; Ortetica

Author for correspondence.
Email: ria@scoliologic.ru
ORCID iD: 0000-0001-6055-6295
SPIN-code: 2072-1986

MD, PhD Student

Russian Federation, Saint Petersburg; Saint Petersburg

Sergei V. Vissarionov

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery

Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
SPIN-code: 7125-4930
Scopus Author ID: 6504128319

MD, PhD, D.Sc., Professor, Corresponding Member of RAS

Russian Federation, Saint Petersburg

Maxim G. Gusev

Ortetica

Email: llp@scoliologic.ru
ORCID iD: 0000-0002-7976-0795

MD, PhD

Russian Federation, Saint Petersburg

Grigoriy A. Lein

H. Turner National Medical Research Center for Children’s Orthopedics and Trauma Surgery; Ortetica

Email: lein@scoliologic.ru
ORCID iD: 0000-0001-7904-8688

MD, PhD

Russian Federation, Saint Petersburg; Saint Petersburg

Ivan V. Pavlov

Scoliologic.ru; Styllian

Email: pavlov@scoliologic.ru
ORCID iD: 0000-0002-0412-6351

MD, PhD

Russian Federation, Saint Petersburg; Saint Petersburg

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Copyright (c) 2021 Redchenko I.А., Vissarionov S.V., Gusev M.G., Lein G.A., Pavlov I.V.

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