Treatment Principles-Adult Scoliosis should be cared for by a physician or chiropractor. Due to the nature of the adult spine, treatment should be based on a comprehensive evaluation which should include an Orthopedic/Neurological examination, recent upright X-rays and functional assessment exams. The Spinecor Adult Brace can be used to create spinal translation designed to de-weight the adult spine. However, chronic inflammatory condtions, arthritis, stenosis, and spondylosis must also be carefully considered when applying the orthosis. Principles of neuro-muscular-reeducation are employed to reduce chronic pain cycles, and improve muscle memory in postural restoration.
Treatment Objectives- Adult Scoliosis treatment is designed to improve activities of daily living (ADLs) and to provide pain relief. Curvature reduction through improved postural stability may also be a considered objective. Changes in bone shape are not realistic in the adult spine.
Treatment Outcomes-Patient satisfaction surveys confirm adult patients Strongly Recommend our program to other adults with Scoliosis.
Treatment Protocols-The Adult Spinecor brace wearing schedule varies depending upon the patients co-morbid conditions and treatment objectives. Typical wearing schedules are day time only to tolerance. Fatigue may limit brace use in the first few months of treatment, however the majority of adults find they can build up to full time wearing within the first 3 months. Patients with chronic active pain syndromes are typically fitted in an Adult configuration designed to de-weight the spine and reduce pain. Changes in brace configuration are based upon clinical measures specific to each patient. Brace fittings designed to restrict and re-educate movement patterns are typically used initially in patients without pain. Patients are typically under care for 24 months, however, some patients continue to be care for and monitored for many years when degeneration and spinal instability are an issue.
Indications- The Spinecor Adult Scoliosis is indicated for Adults with De-Novo (adult onset) Scoliosis, and Adolescent Idiopathic Scoliosis in Adulthood. Patients who are suffering due to pain, fatigue or weakness as a result of scoliosis are typically considered candidates for bracing. Indications also include those patients interested in improving the cosmetic appearance of their waist angles and ribcage. Patients with respiratory conditions secondary to Scoliosis may also be considered for treatment if there is no significant reduction in vital capacity or blood oxygen levels with the brace properly fitted.
Contraindications- Patients with severe stenosis resulting in neurological deficit may not respond well to Adult Scoliosis Bracing. There are contraindications for patients with recent pathological fracture or unstable spondylolysthesis with neurological deficit. Patients may also be refused treatment if expected outcomes are not reasonably possible