Bracing in pediatric patients with pectus carinatum is effective and improves quality of life

PURPOSE

The purpose of this study was to examine the effectiveness and patient satisfaction with bracing for pectus carinatum (PC).

MATERIALS AND METHODS

Twenty-five PC patients were treated between August 2007 and October 2011. Most patients were male (21/25,84%) with a mean age of 14.4 ± 2.0 yrs. A lightweight, patient controlled, external brace (Braceworks, Calgary, AB) was used.

Monthly follow-up with anterior-posterior (AP) width measurements occurred until bracing was completed. Three quality of life (QOL) questionnaires were used: SF-36, SSQ, and PEEQ.

RESULTS

Group 1 involved twenty patients who successfully completed bracing (12/25,56%) or who are still bracing (8/25,32%). Group 2 comprised five patients who failed bracing (2/25,8%) or who were noncompliant (3/25,12%). One patient who failed bracing underwent successful Ravitch repair. AP width decreased more in those with successful bracing (2.31 vs 0.64 cm, p=0.05).

Questionnaires were completed by 19/25 (76%) patients. Pre-bracing, the SF-36, and PEEQ revealed that few patients were symptomatic, although most still avoided activities which showed their chest. The SSQ revealed that the majority of patients were very satisfied with their post-bracing appearance, experienced minimal discomfort while bracing, and would use the brace again. Self-esteem increased significantly after bracing (7.5 vs 8.7, p=0.01).

CONCLUSIONS

Bracing in PC patients is very effective in a compliant patient with close follow-up. Surgical repair remains feasible if bracing fails.

  References
Bracing_in_pediatric_patients_with_pectus_carinatum_Sara_Colozza_Andreana_Butter

Bracing in pediatric patients with pectus carinatum is effective and improves quality of life, Colozza S, Bütter A. Division of Pediatric Surgery, Children’s Hospital, The University of Western Ontario, London, Ontario, Canada. Journal of Pediatric Surgery. 2013 May;48(5):1055-9. doi: 10.1016/j.jpedsurg.2013.02.028.

Also see
☞ Find a doctor – The Calgary Protocol for bracing of pectus carinatum
☞ Pectus carinatum – Frequently asked questions
☞ Braceworks Pectus Brace® wear and care
☞ Order the Braceworks Pectus Brace®

Call 403-240-9100
Mobility Menu
   403-240-9100

follow us in feedly