[2- and 3-dimensional correction of scoliosis by corset treatment. Optimized conservative therapy of idiopathic scoliosis with the improved Cheneau corset]

Developing an Adaptive 3D Vertebrae Model of Scoliosis Patients for Customize Garment Design

Scoliosis is one of the most frequently occurring morphological problems in people. People with such an abnormal curve of the spine face a huge problem, not only from the medical point of view but also from that of garment design and production processes. The current paper brings a novel designing technique to develop an adaptive 3D model of the complicated anatomical shape of the human vertebrae using 3D digitization technologies. Even though it is not as accurate as scanning approaches, it is accurate enough for several applications, including visualization and constructing statistical shape models. Thus, the adaptive model will further integrate with the full skeleton and then to the body shapes of scoliosis patients, not only for an easy garment design process but also to produce comfortable and high-performance garments. The model has also the benefit of adjusting for each tissue to all kinds of spine parameters, such as the height and the angles of the bones and disks (especially the three characteristic planes: sagittal, coronal, and transverse). Thus, the full adaptive skeleton model and later its garment design system, considering the current adaptive vertebrae model for fitted, comfortable and well-performing scoliosis patients garment products, could be developed.

[Conservative treatment of idiopathic scoliosis : Influence of archetypical Cheneau-Corsets on trunk asymmetry]

BACKGROUND

The vertical posture of the growing child requires minute central nervous control mechanisms to maintain the symmetry of the torso in its various activities. Measuring only static parameters such as the Cobb angle does not describe the dynamic changes of scoliotic deformities in gait. A constant deviation in the frontal, transverse, and sagittal planes from the dynamic symmetry of the trunk is described in motion analysis and the surface changes of the spinopelvic complex.

METHODS

Early intervention with effective bracing, physiotherapy and sport can reverse curve progression in growth spurts, once these are identified by screening. Modern braces have a derotating and reducing effect ("mirror effect") on asymmetric body volumes, thus influencing the growing torso and restoring lasting symmetry. These braces can be reduced for archetypical designs. Latest data support the use of braces to reverse progressing scoliosis.

[Conservative treatment of idiopathic scoliosis with effective braces: early response to trunk asymmetry may avoid curvature progress]

Vertical posture of the growing child requires minute central nervous control mechanisms in order to maintain symmetry of the torso in its various activities. Scoliosis describes a constant deviation in the frontal, transverse and sagittal planes from the dynamic symmetry of the trunk. Early intervention with effective bracing, physiotherapy and sports can reverse curve progression during growth spurts, once these are identified in screening. Modern braces have a derotating and reducing effect (mirror effect) on asymmetric body volumes, thus influencing the growing torso and restoring lasting symmetry. Recent data support the use of braces to reverse progressing scoliosis.

[Scoliosis: the bent spine]

Scoliosis, a permanent abnormal curvature of the spine to the side, is divided into four forms: idiopathic (infantile, juvenile and adolescent, accounting for 80% of cases), neurogenic, congenital and adult scoliosis. Most patients with adolescent idiopathic scoliosis initially have mainly cosmetic problems. However, neurogenic, congenital and adult scoliosis can lead to severe clinical symptoms. The leading symptom is back pain caused by secondary changes. In recent years the Lenke classification has been proven to be a reliable tool for disease classification. Non-progressive scoliosis is usually treated conservatively. In the case of Cobb angles of greater than 50°, surgical therapy is recommended in patients presenting before adulthood. Technical improvements in implants and the optimisation of surgical methods have set a trend in the direction of surgical therapy.