# Radiological Improvement of Adolescent Idiopathic Scoliosis Following an Integrated Postural Reprogramming Approach: A Retrospective Case Series

## TL;DR

A new postural reprogramming approach combined with a specific brace may significantly reduce spinal deformities in adolescents with scoliosis.

## Contribution

The study introduces a novel integrated approach combining postural reprogramming and a non-rigid brace for treating adolescent idiopathic scoliosis.

## Key findings

- Case 1 showed a significant reduction in Cobb angle from 19.4° to 4.1° and derotation angle ratio from 1.9 to 0.4.
- Case 2 experienced a decrease in Cobb angle from 41.14° to 15.17° and derotation angle ratio from 3.7 to 1.36.
- Pelvic asymmetry was reduced without worsening of sagittal alignment in both cases.

## Abstract

Background/Objectives: Adolescent idiopathic scoliosis (AIS) is a three-dimensional spinal deformity commonly managed with conservative strategies, including bracing and physiotherapeutic scoliosis-specific exercises (PSSEs). The Canali Postural Method® (CPM) is an individualized kinesiological approach aimed at postural reprogramming, while the Canali Orthopedic Brace is an intermittent, non-rigid device intended to facilitate active postural control rather than continuous passive correction. Case Presentation: We retrospectively report two adolescent females with thoracolumbar rotoscoliosis (Risser grade 4). Case 1 (15 years) presented with a left-convex thoracolumbar curve (apex T12–L1) with a Cobb angle of 19.4° and a derotation angle ratio (DAR) of 1.9. Case 2 (16 years) presented with a right-convex thoracolumbar curve (apex T10) with a Cobb angle of 41.14° and a DAR of 3.7. Both patients underwent supervised CPM-based exercise sessions combined with intermittent use of the Canali Orthopedic Brace. Discussion and Conclusions: Follow-up radiographs showed a marked reduction in curve magnitude and rotational parameters: in Case 1, the Cobb angle decreased from 19.4° to 4.1° and DAR from 1.9 to 0.4; in Case 2, the Cobb angle decreased from 41.14° to 15.17° and DAR from 3.7 to 1.36. Pelvic asymmetry was also reduced, and no worsening of sagittal alignment was observed. Given the retrospective design, the small sample size, heterogeneity in intervention duration, and the lack of clinical outcomes and formal measurement reliability testing, these findings should be interpreted with caution and warrant confirmation in prospective controlled studies.