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. 2017 Mar 16;12:10. doi: 10.1186/s13013-017-0114-2

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© The Author(s). 2017

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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Fig. 3 — This adolescent was first seen with a right thoracic curve measuring 35°. She was recommend wearing a Chêneau-type brace and received a totally wrong designed brace (deficient four-curve design for her three-curve pattern). The X-ray in brace showed an increased angle of 48° with a change in the curve pattern, adding on the curve some lumbar vertebrae due to the inexplicably strong left thoracolumbar pad. The girl was recommended to continue wearing the wrong brace with no modifications. One year later, a new X-ray out-brace showed a curve progression to 55° Cobb. The persistence of the original curve pattern, demonstrated the improper action of the left thoracolumbar pad, real cause of a temporary in-brace adding on phenomenon