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14 year old girl with a thoracic curve exceeding 60° and with a short lumbar counter curve of 50° treated with a Gensingen brace™ 4C. The decision was made to counter tilt the pelvis due to the size of the lumbar counter curvature. Although the clinical picture in the brace looks good we were not able to re-compensate the thoracic curve sufficiently because of a compression effect caused by the lower ribs included into the lumbar pressure area (arrow).
