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Treatment

Currently, the spine medical community advocates bracing as the non-surgical treatment for idiopathic scoliosis. The objective of bracing treatment is to prevent the curve from progressing as the child grows, and studies have shown bracing is effective in stopping the progression of the majority of adolescent scoliotic curves.

There are a number of bracing options, and doctors will recommend a particular back brace and bracing schedule based on factors such as the location of the child's curve, age, skeletal maturity and degree of curvature. Compliance with wearing the back brace as prescribed is clearly vital to the success of bracing treatment.

Bracing and physiotherapy are the non-surgical methods of treatment practiced for mild to moderate scoliosis. The aim of brace treatment is to stop deterioration of the deformity, which is a natural history of progressive.

Adolescent SpineCor Brace

 

SpineCor™ is a 3 dimensional dynamic brace, which provides at least the same efficiency as rigid braces in stabilizing/improving curves during treatment but offers significantly better:

  • long-term post treatment results
  • cosmetic improvement 
  • stable correction after brace removal
  • preserves body movement and promotes corrective growth whilst 
  • continuing normal activities of daily living;
  • can be discreetly worn beneath patient's clothing for optimum self-image;
  • increases patient's acceptance for the treatment leading to optimal results;
  • over long-term offers a cost-effective solution to patient;
  • proven stability of treatment results after bracing discontinued, quite unlike rigid bracing;
  • clinical observation shows significant postural improvements
  • no side effects (muscular atrophy). 

Additionally, SpineCor™ is much more acceptable for the patient, offering better cosmesis, almost total freedom of movement and continuation of sports and normal activity of daily living.

SpineCor™ treatment was developed in the early 1990s and utilizes a Dynamic Corrective Brace (DCB), together with a completely new treatment approach requiring clinical assistant diagnostic software (SAS) to allow accurate fitting and treatment follow up.

Following 12 years of clinical research and trials, SpineCor is now rapidly being made available to patients around the world.

The initial excellent clinical results produced by the research centre at Ste Justine Hospital and the University of Montrea, Canada, have since been replicated by more than 80 other treatment centres around the world. SpineCor has shown to be effective in 89% of cases (either by stablization or improvement in (Cobb) angle of the curve.

The SpineCor™ treatment approach is completely different to that of traditional braces that use 3-point pressure and distraction; it is the first and only true dynamic bracing system for idiopathic scoliosis. 
SpineCor™'s unique approach to treatment by global postural re-education has been shown to give progressive correction over time, which, unlike any previous brace treatment, is extremely stable post brace weaning.

SpineCor™ offers:

  • A much more acceptable treatment to patients, being cooler to wear, less restrictive, more easily concealed under clothing and 4 hours of out of brace time per day.
  • Excellent treatment results, particularly when treatment is started early.
  • Excellent stability of treatment results post bracing.
  • Neuromuscular integration for maintenance of improved posture.
  • Potential to reduce incidence of surgical intervention.

Adult SpineCor Bracing

Although the focus on scoliosis has always been on children there is an overlooked area in adults.

The adult scoliosis fall into two groups

1. Adolescent Scoliosis in the Adult ASA
These are usually adults with a pre-existing adolescent idiopathic scoliosis

2. De-Novo Degenerative Scolisois DDS 
Which is a new onset of scoliosis in adult hood

The new SpineCor™ Pain Relief Back Brace is a neuro-muscular-skeletal rehabilitation tool for treating abnormal spinal loading and abnormal posture; it is not a simple back support brace.

Principle

Corrective movements gently guide the posture and spinal alignment in an optimal direction.
The elastic corrective bands act to resist the body's movement back to the abnormal position.
This constant "correction, relaxation, correction, relaxation" is in reality a corrective postural exercise.
The brace is able to put a patient's body through 10's of 1000's of repetitions per day instead of the 10-50 repetitions that are typical with other rehabilitation techniques.
It creates dynamic spinal offloading and neuromuscular rehabilitation with the ultimate goal of neuromuscular 
intergration.

Indications

These include but are not limited to the following:

  • Adult De-novo Scoliosis
  • Degenerative Adult Adolescent Idiopathic Scoliosis
  • Hyper Kyphosis
  • Postural Scoliosis
  • Chronic Antalgic Scoliosis
  • Post Traumatic Scoliosis
  • Spinal Stenosis related to spinal misalignment
  • Poor posture

X-rays are required before treatment to determine:

  • Patient suitability for treatment
  • Scoliosis/deformity classification
  • Patient specific treatment objectives

The indications provided are guidelines and not absolute, co-morbidities must be considered and may contraindicate bracing.

Objectives

  • Pain: The primary treatment objective of the SpineCor Pain ReliefBackBrace is most often pain relief; however, postural improvement is directly related to pain relief and therefore should also be considered as a secondary objective.
  • Posture: Clinically appraised desirable postural changes will be patient specific and defined by both clinical and radiological features of their condition. Often, the posture changes seen, such as improvements in spinal decompensations, are responsible for stabilization or correction of progression and reductions in pain.
  • Progression: Stabilization of Spinal Deformities / Misalignments. In such cases, radiological evaluations are advised to optimize treatment. Radiological objectives may include optimization of spinal balance, reduction of spinal decompositions and reduction of Cobb angles. Please note significant correction of Cobb angles in adults will rarely be possible and therefore should not be the primary or only treatment objective.

The SpinceCor™ Pain Relief Back Brace should always be prescribed by a doctor, physician or spinal surgeon who can determine that no contraindications exist prior to brace treatment.