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Case report A two year old girl diagnosed with Marfan’s syndrome presented with a double major scoliosis of 20°. After a follow-up of 6 months she showed a rapid progression to 46° (November 2008) and was braced immediately. In-brace correction in the first brace (RSC) was moderate due to the stiffness mainly of the lumbar curve. A new brace was made after significant growth (Gensingen brace in October 2009). An in-brace correction to 12° thoracic and 12° lumbar has been achieved. In October 2010 she also has outgrown her second brace to some extent. Due to clinical overcorrection (ATR lumbar -5°) brace wearing time has been reduced to 12 hrs. / day at first. In January 2011 at the age of 4 and a half she presented again with an ATR lumbar of -6° and thoracic 2°, lumbar still overcorrected, so we decided to leave off the brace for 3 months time.

Brace treatment in an infantile/juvenile patient with progressive scoliosis due to Marfan’s syndrome