A Single-Center Experience with Dynamic Compression Bracing for Children with Pectus Carinatum
Ashwini Suresh Poola1, Amy L Pierce1, Beth A Orrick1
1Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri, United States.
Summary
Dynamic compression bracing (DCB) effectively corrects pectus carinatum (PC) with lasting results and few complications. Successful outcomes depend on longer bracing duration and lower initial pressure.
Area of Science:
- Thoracic surgery
- Pediatric orthopedics
- Medical device technology
Background:
- Pectus carinatum (PC) bracing offers a non-surgical alternative to correction.
- Predictive factors for successful PC bracing are not well-established due to limited data.
Purpose of the Study:
- To identify predictive factors for successful dynamic compression bracing (DCB) in pectus carinatum patients.
- To evaluate the efficacy and complication rates of DCB for PC correction.
Main Methods:
- Prospective analysis of patients with PC treated with DCB between July 2011 and July 2016.
- Inclusion criteria: patients >10 years old with significant PC and desire for bracing, with at least two follow-up visits post-fitting.
- Data collected included initial correction pressure and duration of treatment.
Main Results:
- 340 out of 503 evaluated patients underwent DCB; 85% were male, average age 14 years.
- 47% of patients achieved complete correction with an average of 7.5 months of bracing.
- Successful outcomes correlated with longer DCB duration and lower initial correction pressure.
Conclusions:
- Dynamic compression bracing is effective for pectus carinatum, showing both early and sustained correction.
- Minimal complications were observed, with mechanical and skin issues being most common.
- Increased DCB duration and lower initial pressure are key predictors of successful PC resolution.
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