Spine deformity can be idiopathic (more than 80% of cases), neuromuscular, congenital or neurofibromatosis-related. However, there are many disorders that may also be involved. We present our experience treating patients with scoliosis or other spine deformities related to rare clinical entities.

Patients with chronic back pain as a result of degenerated disc disease, besides pain, also present with impaired gait. The purpose of the article was to evaluate kinetic and kinematic characteristics during gait analysis in patients with chronic low back pain as a result of degenerated disc disease, before and after the application of physiotherapy, including manual therapy techniques. Seventy-five patients suffering from chronic low back pain were randomly divided into 3 groups of 25 each. Each group received five sessions (one per week) of interventions with the first group receiving manual therapy treatment, the second a sham treatment and the third, classic physiotherapy (stretching exercises, TENS and massage). The effectiveness of each treatment was evaluated using an optoelectronic system for recording and analysis of gait (kinetic and kinematic data). Patients overall showed an impaired gait pattern with a difference in kinetic and kinematic data between the left and the right side. Following the application of the above-named interventions, only the group that received manual therapy showed a tendency towards symmetry between the right and left side. In patients suffering from chronic low back pain as a result of degenerated disc disease, the application of five manual therapy sessions seems to produce a tendency towards symmetry in gait.

This study aims to describe the numerical modeling and nonlinear finite element analysis of typical spinal braces as a first step towards optimizing their topology for 3D printing. Numerical simulation was carried out in Abaqus CAE software Version 2021, utilizing a CAD (Meshmixer Version 3.5.474) scan of an actual spinal brace. Boundary conditions were defined by means of contact surfaces between the human body and the supporting pads located in the interior of the brace. The process of tightening the straps on the rear face of the brace was simulated via appropriate imposed displacements. The response is described through the deformations and developing stresses of the brace and the contact pressures in the areas of interaction with the human body. Parametric analysis indicated that increasing the cross-sectional thickness or elastic modulus of the brace material results in higher maximum von Mises stresses and lower displacements. The comparison between 3D-printed and conventional braces highlighted the potential of 3D-printing technology to achieve comparable performance with customized designs, leveraging the constitutive properties of 3D-printed material obtained from tension tests. The tension tests demonstrated that the 3D-printed material achieved higher values of modulus of elasticity compared to traditional brace materials. Finally, the topology optimization criteria to be applied for the design of spinal braces in the next step of this ongoing research are briefly described.