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New
Technology vs. Old
Technology By Dr.
Brian Ouellette,
D.C.
For years,
rigid bracing (body casting) was the treatment of choice
for Scoliosis. This
treatment, even though unsuccessful in the correction of
the scoliotic spine is still used today. Rigid bracing
uses a 3 point pressure system. Pressure is put at the
top of the curve, the bottom of the Curve and at the
apex. The patient is then squeezed into this cast in
hopes of stopping progression of the
curve.
Unfortunately, there are many problems associated
with this type of
treatment. 1.
Muscle atrophy- The rigid brace
inhibits movement and physical
activity. 2.
Compliance- The rigid brace is
difficult to wear and
uncomfortable. 3.
Psychological effects-
Embarrassing to wear to
school. 4.
Inhibits growth- The only way
for a scoliosis to improve is to grow out.
5.
2
dimensional- Rigid bracing is a 2 dimensional treatment
for a 3 dimensional
problem. New
Technology Two orthopedic surgeons, Drs. Rivard and
Collaird, developed the first and ONLY flexible brace
for the correction of idiopathic scoliosis. The Spinecor Brace is
a dynamic brace which treats the scoliosis in ALL three
dimensions. The SpineCor treatment approach targets
the four key progression factors of idiopathic
scoliosis. Each patient has a postural disorganization,
asymmetrical growth of the vertebra, a genetic spinal
deformation and a neuromuscular dysfunction. Being able
to treat all of these key factors makes it possible to
reduce and stabilize the scoliosis in 89% of
cases. This NEW TECHNOLOGY offers an answer to
all the problems associated with rigid bracing. The SpineCor brace allows for
movement and encourages normal activities and sports,
its easily worn underneath the patient’s clothing which
aids in compliance and psychological effects, it
promotes growth by creating movement and it treats the
rotation and torsion in the spine as well as the lateral
curvature.
Comparison Studies SCOLIOSIS CURVE TSLO PROVIDENCE SPINECOR Correction/stabilization
15%
31%
59% Progression over6
degrees
85%
69%
41% Progression over 45%
56%
45%
1% Progression to surgery 79%
60%
23% *Patients included in these studies range from 20 degrees- 50 degrees and Risser 0-3 or pre-menarche. Therapeutic success is defined according to the SRS definitionsas either improvement (Cobb reduction of 6 degrees or greater) and stabilization ( Cobb increase of up to 5 degrees).
Janick J A,Poe-Kochert C,
Armstrong DG, Thompson GH. A comparison of the
Thoracolumbar Orthosis and Providence Orthosis in the
Treatment of Adolescent Idiopathic Scoliosis: Results
using the New SRS Inclusion and Assessment Criteria for
Bracng Studies. J Pediatr Orthop. 2007 Jun;
27(4):369-374. ColliardC, Vachon V, Circo AB, Beausejour M, Rivard CH. Effectiveness of the Spinecor Brace Based on the New Standardized Criteria Proposed by the Scoliosis Research Society for Adolescent Idiopathic Scoliosis. J Pediatr Ortho. 2007;27(4):375-379.
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