Learn About The SpineCor Brace
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 rigid or semi-rigid braces for scoliosis, which restrict motion, causing muscle atrophy. SpineCor inhibits the progression of spinal deformity. Furthermore, it allows full range of motion while balancing and strengthening musculature, improving posture and reinforcing and integrating neurological feedback. See how SpineCor scoliosis treatment compares to other methods.
Patients in 20 countries around the world use SpineCor. Tens of thousands of patients succeed with SpineCor, correcting or stabilizing the disorder.
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. Also, if your insurance plan covers out of network services, you could get a significant portion of the SpineCor Brace cost reimbursed – get more insurance info.
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.
SpineCor is effective in treating Cobb angles between 15 to 50 degrees in all classifications of adolescent idiopathic 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.
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 brace targets 4 key scoliosis progression factors:
- 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.
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. This is a huge benefit of its use.
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 thigh bands and the crotch bands, also called the perineal bands, hold the Pelvic Base in place. 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 attach between the Pelvic Base and the Bolero while the patient is in their corrective movement. The body is held in the corrective movement by attaching the bands in order from 1-4. Some of the bands have high tension on them and others will have virtually no tension. But together they all work together to bring about the slow and 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.
On your first visit to our office, we perform three types of exams. 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 will 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 and a laying front to back view of the full spine. These three 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. From the side view, we see if the normal curves are too flat, too curved or normal. Finally, the laying view allows us to determine the flexibility of the curve, which helps in determining the prognosis for correction or stabilization.
Once all of these exams are completed, doctors 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 explain the costs of the brace and potential for insurance reimbursement at the initial consultation.
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. Patients wear the body suit under the brace to keep the components from rubbing. Boys should look at getting undershirts and underwear to wear under their brace.
Before we begin fitting, we instruct the patient and their family on the corrective movement. This is the series of movements that the patient performs to correct their scoliosis. Each time the brace is put on the patient performs corrective movement, so it is essential that everyone is familiar with that movement. Once we have mastered the corrective movement then we will begin fitting.
Components: The building blocks to successful treatment
First, we fit the pelvic base component first. Then, we apply it to the patient and have them 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 the comfort bands in place. Then, we position and secure corrective bands. The patient performs their corrective movement. Simultaneously, we 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 fitted, we perform the clinical and postural evaluations. 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 input this data into the SAS software.
Doctors take a full spine back to front x-ray in the brace because we want 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.
Next, the doctors trim any extra lengths of straps off and burn the ends. The patient takes off and puts on the brace 3 or 4 times to get them very comfortable in applying it correctly. Finally, we send patients home with printed instructions on how to fit their brace. We schedule the patient to return in a month for their first follow up.
Visit#2 (1 month following initial brace fitting)
First of all, we 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 the 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, we take a PA x-ray in brace, and with a shoe lift if prescribed, it should show a reduction or stabilization of the original Cobb angle/s.
Visit#4 (6 months after initial brace fitting)
Your Scoliosis Specialist Doctors 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, we take a PA x-ray in brace, and with a shoe lift if prescribed, it should show a reduction or stabilization of the original Cobb angles.
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)
We review the SpineCor Scoliosis Brace Setup; We take pre-adjustment clinical measurements; 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 angles. 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)
We ask the patient to remove brace 72 hours prior to visit, then the doctor x-rays without the brace. We compare Cobb angles from consecutive in-brace x-rays to determine if the brace treatment needs to continue.
Weaning Follow-up Visit (6 months following initial weaning visit) – We ask the patient to remove brace 72 hours prior to visit. Finally, we take PA x-ray without, then with brace following re-fitting.
Finally, if necessary once weaning is complete, we prescribe a custom SpineCor physiotherapy program to enhance the effect of your scoliosis brace.