Learn About The SpineCor Brace

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SpineCor® Scoliosis Brace was developed in the early 1990s after rigorous research and clinical trials by a team of 65 researchers based at Sainte-Justine Hospital in Montreal, Canada. Although originally used as a brace for scoliosis for children with Adolescent Idiopathic Scoliosis (AIS), it became clear that the SpineCor brace greatly reduced related pain in adults, as well. Today, Scoliosis Specialists doctors see an even mix of pediatric scoliosis and adult scoliosis patients.

SpineCor treatment differs from conventional non-surgical treatments which are rigid or semi-rigid braces for scoliosis, which restrict motion, causing muscle atrophy. The Brace inhibits the progression of spinal deformity. Furthermore, it allows full range of motion while balancing musculature, improving posture and reinforcing and integrating neurological feedback. See how SpineCor scoliosis treatment compares to other methods.

Finally, SpineCor treatment is used in 20 countries around the world. Tens of thousands of patients have been successfully treated.

Call For A Free Consultation By A Scoliosis Doctor

Find out if you or your loved one is a candidate for the SpineCor Scoliosis Brace. Call us at the toll-free number, above, or submit the contact form in the right-hand column. One of our doctors will conduct a FREE phone consultation to determine if SpineCor is the right solution. We work with the patient’s chiropractor, surgeon, or other healthcare providers to assure proper care.

Learn more about the criteria for bracing Adolescent Idiopathic Scoliosis using SpineCor. Click the link for information about adult scoliosis. On the first visit, the doctor will explain how the brace works, bracing protocols and follow up exams.

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The SpineCor Corrective Pediatric Brace is used on children ages 5 to 16. The most common age group is adolescents ages 12-16. SpineCor has been developed and proven to be effective in the treatment of scoliosis.

SpineCor has been shown to be effective in treating Cobb angles between 15 to 50 degrees in all classifications of adolescent scoliosis.

The SpineCor scoliosis brace is most effective when bracing starts before the 1st growth spurt, in what is called Risser 0. However, the SpineCor scoliosis brace has been shown to be effective in more advanced years of maturity, Risser Signs 1-3, as well.

Compliant patients get better results. Teenagers not committed to wearing the brace jeopardize potential treatment success. For most patients, the SpineCor brace is the most comfortable, wearable, efficient and successful brace available. Therefore, the acceptance rate is high.

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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 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 scoliosis brace. Elastic bands provide the efficacious action in the brace. 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. Over time, the gentle resistance of the brace and the reprogramming of the bodies neuromuscular pattern stabilizes and corrects the scoliosis in 89% of patients. Get these phenomenal results!

SpineCor vs. Rigid Braces

The SpineCor brace targets the four key progression factors of idiopathic scoliosis:

  • Neuromuscular dysfunction
  • Growth Asymmetry
  • Postural disorganization
  • Spinal deformation

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 scoliosis brace results.
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Unlike rigid braces where patients walk around with limited motion, SpineCor allows patients to do virtually any physical activity they want, except swimming, in the brace. In fact exercise and activity are absolutely essential for the SpineCor brace to work. So the patient’s lifestyle is less affected with the SpineCor brace.

A look at the SpineCor Dynamic Elastic Brace:

The main component of the brace is the Pelvic Base. The pelvic base anchors the brace to the lower body and gives the elastic bands a place to lever their force from. The Pelvic Base is held in place by two other components, which are the thigh bands and the crotch bands, better termed the perineal bands. These prevent the pelvic base from riding up too far during movements. The next component is the Bolero, which is the component that wraps around the torso and provides an anchoring point above the pelvis. The last and most important parts are the corrective bands. The bands are attached between the Pelvic Base and the Bolero while the patient is in their corrective movement and they are sequenced in order from 1-4 to cause the body to be held in the corrective movement. Some of the bands will have high tension on them and others will have virtually no tension. But together they all work synergistically to bring about the slow but steady stabilization or correction of the disorder. These thin, light-weight components make the brace virtually un-noticeable under clothing. Thus, wearing it is easier, which raises compliance and brings results.

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In order to bring about the desired results the SpineCor brace must be worn 20 out of 24 hours per day. This is less than rigid braces. Patients get two (2) hour breaks per day, one in the morning and one in the evening. SpineCor research has determined that the minimum time period for bracing is 18 months, but most cases will average 24 months. It depends on the amount of skeletal maturity when the patient is ready to wean from the brace. Below is the progression of follow up visits after the initial visit, and what occurs on each of those visits.

 

SpineCor Scoliosis Brace Protocol

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On your first visit to our office 3 types of exams will be performed. It is necessary for the patient to wear form fitting clothing. Girls should wear tighter shorts and a jog bra and boys should wear shorts like bicycle shorts. Loose clothing will hinder our postural and clinical exams.

I. Clinical exam: This is where we will assess the contours of the spine using a scoliometer, which is a device to determine the inclination at certain segments of the spine.

II. Postural exam: During this exam we assess the shifts, rotations and contours of the patients posture using a visual inspection and a laser inspection. Certain types of scoliosis create certain postural deformities, which assist in the classification of the scoliosis.

III. X-ray exam: We will take 3 x-ray views during this exam. They are a back to front standing X-ray of the full spine, a standing side view of the entire spine. These views combined allow us to get a very good idea of the classification of scoliosis. The back to front standing view allows us to measure the curves using the Cobb analysis. The side view allows us to see if the normal curves are too flat or too curved or just right.

Once all of these exams are completed, we will enter all the data into what is called the Scoliosis Assistant Software, which helps us in the classification of the scoliosis and the chances of reducing the curves. Once we complete these exams we should know if the patient is a good candidate for the SpineCor brace or not. If a patient is a good candidate then we will schedule a date the following week to return to fit the brace. If a patient is not a good candidate then they will be referred to the proper provider for further consultation.

We will also have a consultation during this first visit to cover the costs of the brace and the likelihood of insurance helping out or not.

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Brace fitting day is a big day. Bring the whole family and even closest friends of the patient. The support group provide moral support and can assist the patient in wearing the brace.

Introduce SpineCor

First of all we will introduce the patient to their scoliosis brace and show them all the components. For girls there will be a body suit provided by SpineCor. The body suit is to be worn under the brace to keep the components from rubbing. Boys should look at getting some under armor shirts and underwear to wear under their brace.

Before we begin fitting, we will instruct the patient and their family on the corrective movement. This is the series of movements that the patient will perform to correct their scoliosis. Each time the brace is put on the patient will have to perform their corrective movement, so it is essential that everyone is familiar with it. Once we have mastered the corrective movement then we will begin fitting.

Components: The building blocks to successful treatment

We fit the pelvic base component first. Once we apply it, the patient must move around and sit in it to determine if it is on correctly and allows easy movement. We apply the bolero next. It positions and holds comfort bands in place. We position and secure corrective bands last. The patient performs their corrective movement. Simultaneously, we will place a series of 4 bands in varying positions to hold the patient in their corrective movement. Some of the bands will be tight and some will be loose.

Once the brace is fit we will perform the clinical and postural evaluations that we performed on the first visit. This will give us a comparison to the first visit to see if there has been any reduction in the postures and scoliometer measurements in the scoliosis brace. Finally, we enter this data into the SAS software.

X-Rays

Following those exams we will then take a full spine back to front x-ray in the brace to see how the spine is changed wearing the brace. We are looking for changes of 1 or 2 degrees up to 12 degrees difference in the post x-ray. We will also take these new x-ray measurements and input them into the SAS software and then the computer will give us an updated prognosis for stabilization or correction.

Once these exams are done, we will trim any extra lengths of straps off and burn the ends and then we will have the patient take off and put on the brace 3 or 4 times to get them very comfortable in applying it correctly. All patients will be sent home with printed instructions on how to fit their brace. Once this is completed the visit will be over and the patient will be scheduled to return in a month for their first follow up.

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In order to ensure maximum patient improvement, Scoliosis Specialists follows a proven, pre-defined follow-up process. Our scoliosis doctors will schedule these appointments, starting between 4-12 weeks following initial scoliosis bracing with SpineCor. Here is an overview of the follow-up visits:

Visit#2 (1 month following initial brace fitting)

Analyze SpineCor Brace Setup; Pre-adjustment clinical measurements taken; without brace clinical exam performed; brace adjusted based on the brace provider’s evaluation; post-adjustment clinical measures taken.

Visit#3 (3 months following initial brace fitting)

Review of SpineCor Brace Setup; Pre-adjustment clinical measurements taken; without brace clinical exam performed; brace adjusted based on the brace provider’s evaluation; post-adjustment clinical measures taken; After brace adjustment, a PA x-ray in brace, and with a shoe lift if prescribed, should be taken, it should show a reduction or stabilization of the original Cobb angle/s.

Visit#4 (6 months after initial brace fitting)

Analyze SpineCor Brace Setup; Pre-adjustment clinical measurements taken; without brace clinical exam performed; brace adjusted based on the brace provider’s evaluation; post-adjustment clinical measures taken; After brace adjustment, a PA x-ray in brace, and with a shoe lift if prescribed, should be taken, it should show a reduction or stabilization of the original Cobb angle/s.

Visit#5 (9 months after initial brace fitting)

Review of SpineCor Brace Setup; Pre-adjustment clinical measurements taken; without brace clinical exam performed; brace adjusted based on the brace provider’s evaluation; post-adjustment clinical measures taken.

Visit#6 (1 year after initial fitting)

Review of SpineCor Scoliosis Brace Setup; Pre-adjustment clinical measurements taken; without brace clinical exam performed; brace adjusted based on the brace provider’s evaluation; post-adjustment clinical measures taken; After brace adjustment, a PA x-ray in brace, and with a shoe lift if prescribed, should be taken – it should show a reduction or stabilization of the original Cobb angle/s. A w/out brace x-ray is optional at this stage.

Following Visits (Every 3 months for a minimum in-brace duration of 18 months).

Weaning Sequence (18-24 months after fitting)

Patient is asked to remove brace 72 hours prior to visit; PA x-ray without brace is taken; compared to Cobb angle from last in-brace x-ray to determine if brace needs to be continued.

Weaning Follow-up Visit (6 months following initial weaning visit) – Patient is asked to remove brace 72 hours prior to visit; PA x-ray taken without, then with brace following re-fitting;

When weaning complete, a SpineCor physiotherapy program may be prescribed to enhance the effect of your scoliosis brace.

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