Adult Spinecor Treatment Objectives

1. Pain: The primary treatment objective of the SpineCor Pain Relief Back Brace is most often pain relief; however, postural improvement is directly related to pain relief and therefore should also be considered as a secondary objective.

2. 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.

3. Progression: Correction/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.

SpineCor offers

1. A treatment approach based on the latest understanding of the cause and progression factors of Idiopathic scoliosis.

2. 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.

3. No side effects. Rigid braces cause muscle atrophy and can be harmful to normal development in a growing child.

4. Excellent treatment results, particularly when treatment is started early.

5. Excellent stability of treatment results post bracing.

6. Neuromuscular integration for maintenance of improved posture.

7. Potential to reduce incidence of surgical intervention.

SpineCor Brace

Spinecor scoliosis brace is the first and only truly dynamic brace, which provides a progressive correction of Idiopathic Scoliosis from 15º Cobb angle and above. Spinecor brace Preserves normal body movement and growth and allows normal activities of daily living. It is worn comfortably and easily under clothing. Spinecor treatment Increases patient's acceptance leading to better compliance.

SpineCor treatment for Adolescent Idiopathic Scoliosis

5 years follow-up after weaning of the brace

Objective


Knowing that any apparent correction of a scoliosis curve that occurs during rigid brace treatment for adolescent idiopathic scoliosis (AIS) can be expected to be lost over time, the purpose of this prospective interventional study was to evaluate the stability of the spine 5 years after the weaning point of the SpineCor brace.

Study Design


From 1993 to 2009, 840 patients were treated for AIS using the SpineCor brace. 495 fitted patients had a definitive outcome, and 405 patients finished the treatment with the SpineCor brace. 94 patients had at least 5 years of follow-up. The assessment of brace effectiveness included the following: percentage of patients who had a 5° or less curve progression and the percentage of patients who had 6° or more progression; percentage of patients who have been recommended for or have undergone surgery before skeletal maturity; percentage of patients with curves exceeding 45° at maturity (end of treatment); 2-years follow-up beyond maturity to determine the percentage of patients who subsequently underwent surgery; percentage of patients that corrected or stabilized their Cobb angle 5 years after the weaning point.

Results


Looking at the stability of the curves after the end of the treatment, 29% of the patients still continued their correction after the weaning point, 63.5% remained stable, and only 7.5% progressed by more than 5° (4.3% of them had a surgery recommendation after the weaning point).

Conclusion


The SpineCor brace is effective for the treatment of adolescent idiopathic scoliosis. Positive outcomes are maintained 5 years after the weaning of the brace. Moreover, one third of the patients still maintained correction of their Cobb angle in the five-year period after the end of the treatment.

Resources:

Research Center, Sainte-Justine Hospital, & University of Montreal, 3175 ch. Côte Ste-Catherine, Montréal, Québec, H3T 1C5, Canada

from 6th International Conference on Conservative Management of Spinal Deformities
Lyon, France. 21-23 May 2009

Scoliosis 2009, 4(Suppl 2):O55doi:10.1186/1748-7161-4-S2-O55

The electronic version of this abstract is the complete one and can be found online at:


http://www.scoliosisjournal.com/content/4/S2/O55