Successful Brace Treatment of Pectus Carinatum in Osteogenesis Imperfecta Using the Dynamic Compression System

European J Pediatr Surg Rep. 2019 Jan;7(1):e117-e120. doi: 10.1055/s-0039-3399557. Epub 2019 Dec 31.

Abstract

Osteogenesis imperfecta (OI) is a genetic disorder of collagen resulting in a "fragile" skeleton with increased fracture risk and other complications, dependent on the specific variant. Pectus deformities of the chest wall, while not common, can be associated with OI. The use of a pectus carinatum brace in a patient with OI poses unknown risks for fractures and adverse treatment outcomes. We successfully applied external compression bracing using the dynamic compression system to one such patient. This case illustrates the ability to treat an OI patient with pectus carinatum using a nonsurgical brace, without complications, resulting in an excellent cosmetic result.

Keywords: dynamic compression system; osteogenesis imperfecta; pectus carinatum.

Publication types

  • Case Reports