– Source: Dr. Manuel Rigo Caldito MD PhD
One can call a scoliosis treatment successful if, with good wearing time, the curvature of the spine is reduced.
If more than 50 percent is corrected and the body is also untwisted around the longitudinal axis, this is called a very good result.
Specialized orthopedic MDs and orthopedic technicians can achieve such improvements by focusing entirely on the three-dimensional torso deformation.
A well-adjusted corset can stop the torso deformation. These improvements are possible if the practitioner does not rely solely on the X-ray image to determine the deformation.
The X-ray image is always two-dimensional, the body itself is three-dimensional.
It may be that the scoliosis patient has an approximately normal spinal form from the side on the X-ray, although this is not true in reality. These patients still have a rib hump.
Some corsets, which are made after X-ray images, even lead to an unnatural acting flatback. The two-dimensional radiograph can not adequately depict scoliosis because it is three-dimensional. Unfavorable results are often not shown.
“A scoliosis treatment is successful when, with good wearing time, the curvature of the spine is reduced.”
Many practices and centers with great experience in treatment know the problem that similar corsets sometimes produce excellent and sometimes poor effects. The unfavorable results are often not shown! How can the safety of treatment be improved to such an extent that all curvature patterns profit in the same way from a corset treatment? By correction principles that better fit the different curvature patterns.
The majority of corsets prescribed in the world are designed according to a uniform blueprint, which takes into account the basic idea of the designer and his ideas of the correction options, but not the biomechanical conditions of the individual different curvature patterns.
The Chêneau corset care takes into account two different curvature patterns and is based on two different design concepts. The more modern restorations considered five curvature patterns (King classification). Supplies on this basis are more specific than the Chêneau supply.
The results were statistically quite good in the Chêneau style and also in the King modified Chêneau supply. However, in individual cases, it was not always possible to clarify why some corsets worked and others did not!
Dr. Manuel Rigo has learned from the operation planning of the Lenke classification of the American surgeon Dr. Ing. Lawrence G. Lenke derived fifteen different curvature patterns. These allow an even more specific and thus more precise corset care, the so-called Rigo classification.
Dino Gallo, Certified Prosthetist Orthotist (CPO), has over 20 years of professional experience, especially in Pediatric Orthopedics, and is Managing Director of Ortholutions. The company, based in Rosenheim, Germany, manufactures scoliosis braces according to the original Rigo System Chêneau® (RSC® Brace).