SpineCor Dynamic Bracing for Idiopathic Scoliosis
Background. Orthopaedic bracing is used in conservative treatment of spinal curvatures. Apart from rigid braces, SpineCor dynamic braces with a flexible design have recently become available. The idea behind dynamic bracing is that derotational and con’ecting forces are transmitted via a system of corrective bands. The essence of this technique is maintenance of spine mobility while effecting a position in which all components of the three-plane deformity are corrected. The aim of this study is to evaluate early outcomes of SpineCor dynamic brace treatment for idiopathic scoliosis according to SRS methodology and criteria.
Material and methods. The study group included 50 patients who were using SpineCor braces due to idiopathic scoliosis. The indication for bracing was the fInding of a >15® spinal curvature in skeletally immature patients (Risser grade 0-3). Correction or stabilization ofthe scoliosis (Cobb angle change of +/-5°) were recognised as positive outcomes, while a negative outcome was defIned as progression of the curve of more than 5° or to a value necessitating operative treatment. The study group was divided into subgroups at enrolment, according to gender and degree of scoliosis.
Results. In the entire study group, correction was demonstrated in 24 patients (48%), stabilization in 14 (28%) and progression
in spite of bracing occurred in 7 patients (14%). Five patients in the entire study group (10%) required operative treatment due to rapid curvature progression.
Conclusions. I. Conservative treatment of scoliosis with the SpineCor brace during the skeletal immaturity period in the study group leads to curvature stabilization in approx. 70% of patients. 2. Introducing the SpineCor brace in patients with a scoliosis angle over 20° and Risser grade 0-3 very effectively prevented curve progression. 3. VerifIcation of the results needs to be ca.J.Tied out after at least 2 years post-treatment before defInitive conclusions regarding bracing efficacy can be drawn.