Bracing During Infantile Scoliosis: Airways Study (MASI)

Club d'Anesthésie-Réanimation Pédiatrique Armand Trousseau

Status: Completed

Conditions: Scoliosis

Treatments: Other: Non invasive respiratory muscle assessment; Radiation: EOS™; Device: Acoustic reflection method evaluation

Study type: Observational

Funder types: Other

Identifiers

NCT01087034

MA-SInf

Details and patient eligibility

About

Idiopathic juvenile thoracic scoliosis is a tridimensional deformation of the spine which may impact on the intrathoracic organs. Bracing is one of the oldest treatments of spinal deformities. It relies on the indirect manipulation of spinal curvatures in order to prevent curve progression, which may affect respiratory function.

The acoustic reflection method is based on the analysis of the reflection of a single transient planar wave giving the longitudinal cross-sectional area profile of the examined cavity. It is noninvasive and harmless.

The EOS™ device allows a double incidence, full body, and low-dose X-ray acquisition with thoracic 3D reconstruction.

The aim of the study is to evaluate the impact of bracing on the upper airways patency (by means of the acoustic method), on the breathing pattern (noninvasive respiratory muscles assessment), and on the thoracic penetration index (by means of the EOS™)

Enrollment: 15 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• children with evolutive juvenile thoracic scoliosis
• with a Cobb angle ≥ 30°
• requiring either a Milwaukee or a Cheneaux brace
• in a stable respiratory state

Exclusion criteria

• history of spine surgery

Trial design

15 participants in 2 patient groups

Milwaukee brace

Description:

Children with an infantile scoliosis requiring Milwaukee bracing

Treatment:

Other: Non invasive respiratory muscle assessment

Radiation: EOS™

Device: Acoustic reflection method evaluation

Cheneaux brace

Description:

Children with an infantile scoliosis requiring Cheaneaux bracing

Treatment:

Other: Non invasive respiratory muscle assessment

Radiation: EOS™

Device: Acoustic reflection method evaluation