Collard et at. scoliosis 2012, 7(Suppl 1):024 http://www.scoliosisjournal.com/content/7/S1/024
ORAL PRESENTATION
Open Access
A prospective randomized study of the natural history of idiopathic scoliosis versus treatment with the SpineCor brace
C Coillard, A Circo, C Rivard From 8th International Conference on Conservative Management of Spina■ Deformities and SOSORT 2011 Annual Meeting
Barcelona, Spain. 19-21 May 2011
Background
The purpose of this randomized study was to evaluate the effectiveness of the Dynamic SpineCor brace [1,21 for early adolescent idiopathic scoliosis (15,30°) com-pared to the natural evolution of the disease. 47 patients participated in this study (26 treated and 21 controls).
Materials and methods
The inclusion criteria where: 1) High risk of evolution: family history and/or proven progressive 2) No significant pathological malformation of the spine; 3) Gid or boy; 4) Initial Cobb angle between 15° and 30% 5) Risser 0, 1 or 2. Assessment of brace effectiveness included; 1) percentage of patients who have 5° or less curve progression and the percentage of patients who have 6° or more progression at skeletal maturity, 2) percentage of patients who have had surgery recommendation/under-gone before skeletal maturity.
Results
At three years follow up a correction was achieved in 50% of treated patient and only in 9.5% of controls, sta-bilization in 23.1% treated and 33.4% in controls and progression in 26.9 % for the treated group and 59.1% for controls. Three immature patients required surgical fusion while receiving treatment (11.5%) as well as 3 control patients (14.3%). For the control patients we considered as a failure if the Cobb angle worsened by more then 5° from the original angle and the patient then received treatment.
Conclusions
The SpineCor brace is effective for the treatment of early adolescent idiopathic scoliosis comparing with its natural history. Moreover, the positive outcome appears to be maintained in the long term.
Published: 27 January 2012
References
1. Collard C. Circo A, Rivard CH: A new concept for the non-invasive treatment of adolescent idiopathic scoliosis: the corrective movement principle integrated in the SpineCor system.Disabil Rehabil Assist Technical 2008, 3(3):11-9.
2. Collard C. Circo AB, Rivard CH SpineCor treatment for Juvenile idiopathic scoliosis: SOSORT award 2010 winner. Scoliosis 2010, 5:25.
doi:.10.1186/1748-7161.7-S1.24
Gte this article as: Collard et al: A prospective randomized study of the natural history of idiopathic scoliosis versus treatment with the SpineCor brace. Scoliosis 2012.7(Suppl 1):024.
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