The SpineCor system is a flexible brace that is principally prescribed for Idiopathic Scoliosis patients with a Cobb angle between 15° and 50° and Risser sign 0 to 3. The brace is fitted on the patient in accordance to a sub-classification of the traditional SRS definition of curve types. The SpineCor Assistant Software guides the treatment provider through the fitting process. The brace is prescribed to be worn by the patients 20 out of 24 hours per day until they have reached maturity, with radiological evaluations performed prior to and immediately following the fitting of the brace, and every 4 to 6 months afterwards. To accommodate for growth and postural changes, corrective bands need to be adjusted frequently and require replacement each 6-12 months for optimum brace performance.
Posts Tagged ‘scoliosis brace case study’
Still, today, 80% of the scoliosis cases are known as idiopathic. Since the true cause is unknown, the treatment can only be based on the symptoms. Until now, only two types of treatment have been known to be efficient: the first is the treatment using an orthopaedic rigid brace and the second one is surgery with a spinal system.
In both cases, the therapeutic benefits can unfortunately be associated with non-negligible drawbacks that limit their uses. Because of a better understanding of the risk associated and of the disease evolution, we have seen a shift towards earlier treatment.
The correlation between growth potential of the child, and, more specifically, of the adolescent, and the evolution of the scoliosis has been clearly established. It was demonstrated by Duval-Beaupère and many others [inc. . This means that the earlier the scoliosis appears, the greater the risks of evolution. Lonstein & Carlson analysed the natural evolution of scoliosis in a population of 729 adolescents. They concluded that a child with an angle between 20° and 29° and a Risser of 0,1 or 2, will see his/her scoliosis evolve in 68% of the cases. Stagnara and Clarisse and other authors have named the 30° limit “the critical limit” because, beyond this point, during high velocity growth periods, evolution of the disease is guaranteed.
Effectiveness of the SpineCor brace based on the new standardized criteria proposed by the S.R.S. for adolescent idiopathic scoliosis
Journal of Pediatric Orthopaedics, June 2007, P. 375-379
Survival analysis of a group of 365 idiopathic scoliosis patients treated with the Dynamic SpineCor BraceTuesday, March 31st, 2009
Survival analysis of a group of 365 idiopathic scoliosis patients treated with the Dynamic SpineCor Brace
Résonances Eurospéenes Du Rachis. 14(43):p. 1782-1786. French.
Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management
Spine, v. 30, no. 18, p. 2068-2075.
SPINECOR: A non-rigid brace for the treatment of Idiopathic Scoliosis: Initial Post-Treatment Results.Tuesday, March 31st, 2009
SPINECOR: A non-rigid brace for the treatment of Idiopathic Scoliosis: Initial Post-Treatment Results.
Eurospine 2003 12: 141-1
Christine Coillard, M.D.
Michel A Leroux, Ph.D.
Karl F Zabjek, MSc.
Charles Hilaire Rivard, M.D.
The SpineCor brace is a revolutionary new concept in the treatment of scoliosis. Past braces utilized rigid structures to physically apply pressure to the spine and force it back into a more normal position. The SpineCor brace is completely different in the fact that it is not rigid and does not force the spine to move.
The SpineCor brace works it targets the four key progression factors of idiopathic scoliosis:
- Neuromuscular dysfunction
- Growth Asymmetry
- Postural disorganization
- Spinal deformation
Where the old style rigid braces only target spinal deformation. Hence, when rigid braces are removed, there is a high likelihood that the spine will regress back to its original state. With the SpineCor brace the results are maintained out of the brace in 97% of patients. This far exceeds rigid braces.
The SpineCor concept is unique in the fact that the results are achieved not so much by the brace but by the interaction of the brace with the patients Corrective Movement. Researchers at the St. Justine Children’s hospital in Montreal Canada have developed Corrective Movements for all types of idiopathic scoliosis to “open up” or correct the curves. The patient is then braced in that corrective movement and held there 20 hours per day by the elastic bands that make up the brace. The real action in the brace is in the elastic bands. As the patient goes through the movements of the day, they stretch the elastic bands and the bands then resist and pull them back into the corrective movement. This stimulates the growth centers in the deformed vertebra and it stimulates the neuromuscular system and over time the gentle resistance of the brace and the reprogramming of the bodies neuromuscular pattern results in a relatively permanent stabilization or correction of the scoliosis in 89% of patients. These are phenomenal results!
So instead of the patient walking around like a robot in a rigid brace that does not allow much movement. They can do virtually any physical activity they want, except swimming, in the brace. In fact exercise and activity are absolutely essential for the brace to work. So the patient’s lifestyle is hardly affected with the SpineCor brace. This is a huge benefit of its use.