Effective treatment of adolescent idiopathic scoliosis with the PosturalSpine® D'Amanti method and Chêneau brace. A pediatric patient case report demonstrating postural and orthotic synergy.

Abstract

Adolescent Idiopathic Scoliosis (AIS) is a three-dimensional spinal deformity that, if untreated, can impair posture, biomechanics, and quality of life. This case report aims to present the clinical outcomes of an innovative conservative treatment approach that combines the PosturalSpine® D'Amanti Method with the Chêneau brace, in an 8-year-old patient with thoracolumbar rotoscoliosis. This integrative method may represent a novel alternative to conventional bracing or physiotherapy-only protocols. An 8-year-old girl diagnosed with a 32° thoracolumbar rotoscoliosis likely of hereditary origin underwent a 36-month treatment program at Studio Kinesis in Ragusa. The intervention combined a Chêneau brace with the PosturalSpine® D'Amanti Method, which includes proprioceptive and biomechanical exercises. The protocol involved eight 30-minute sessions per month, focusing on spinal alignment, posture, breathing, and body awareness. Radiographic evaluations were conducted at baseline and 10th, 24th, and 35th months. The Cobb angle improved from 32° to 12°, with the most notable reduction occurring within the first 12 months. A slight increase was observed, which may correspond with a 12.5 cm growth spurt, suggesting the influence of rapid growth on treatment outcomes. The integration of PosturalSpine® D'Amanti Method with the Chêneau brace showed encouraging results in reducing spinal curvature and enhancing postural alignment with a noticeable reduction of rib hump in a pediatric patient. This case highlights the potential of combining kinesiotherapy and bracing in scoliosis management. However, broader studies are necessary to validate these findings and optimize protocols for long-term care, particularly during growth phases.