I was a resident computer nerd there, so one of my projects was adapting a 5-axis CNC router to rough out these tangent rails. We were successful to some degree, but the fixturing and programming for individual tangent sections was very complex. It worked out that the CNC approach was only economical when the design of the stair required many multiples (rare in our case). Otherwise the skill and adaptability of individual craftsman was much more efficient, and the CNC was relegated to constructing jigs or 2D pieces.
My training was in high-end artisan furniture making, and the design challenges I saw in custom stairs were way more complex than almost any other field of woodworking I am familiar with, including the more technically avant-garde furniture makers. The only clear exception is wooden boat building, which appropriately enough was the background of many of my coworkers at that company.