Oral presentation

SpineCor treatment for adolescent idiopathic scoliosis - 5 years follow-up after weaning of the brace

AB Circo*, C Coillard and CHI Rivard

Address: Research center, Sainte-Justine Hospital & University of Montreal, 3175 ch. Cote ste-Catherine, Montreal, Quebec, H3T IC5, Canada

Email: AB Circo* altn_circo@yahoo.ca
• Corresponding author

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

Published: 14 December 2009
Scoliosis, 2009. 4(Suppl 2):055 doi:10.1186/1748-7161-4-S2-055

This abstract is available from http://www.scoliosisjournal.com/content/4/S2/055
© 2009 Circo et al: license BioMed Central Ltd.

Oral presentation

New results for 495 patients with adolescent idiopathic scoliosis treated with the SpineCor brace

Address: Research Center, Sainte Justine Hospital, & University of Montreal, 3175 ch. Cote Ste-Catherine, Montreal. Quebec., H3T 1C5 Canda

Email: AB Circo altn_circo@yahoo.ca
• Corresponding author

from  6th International Conference on Conservative Management of Spinal Deformities Lyon. France 21-23 May 2009
Published: 14 December 2009 Scohasts 2009

Scoliosis 2009, 4(Suppl 2):053 doi:10.1186/1748-7161-4S2-053

This abstract is available from http://www.scoliosisjournal.corn/content/4/S2/053
© 2009 Circa et al, License BioMed Central Ltd

Oral presentation

Initial results of SpineCor treatment of Adolescent Idiopathic Scoliosis in Seville, Spain

A Vera Miller

Address: Centro de Enfemedades de la Columna Vertebral. C/jauregui 4.-6, portal D, B-2. 41003 Seville, Spain
Email: A Vera Miller - alfvera@telefonica.net

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

Published, 14 December 2009
Scoliosis 2009. 4,(Suppl 2)1:051 doi:10.1186/1748-7161-4,2-051

This abstract is available from: http://www.scoliosisjournal.com/content/4/52/05

© 2009 Miller, licensee BioMed Central Lcd.

ORIGINAL​ ARTICLE

A Comparison of Thoracolumbosacral Orthoses and SpineCor Treatment of Adolescent Idiopathic Scoliosis Patients Using the Scoliosis Research Society Standardized Criteria

Steven R. Gammon, MD,* Charles T. Mehltnan, DO, MPH,* Winston Chan, BS,* Jonathan Heifetz, CP0,  Gregory Durrett, LO,: and Eric J. Wall, MD*

3rd International Conference On Conservative Management of Spinal Deformities

​Analyse de survie d'une cohorte consecutive de 365 patients scoliotiques tmites par le corset dynamique SpineCor a l'hopital Sainte Justine.

Abstract

Study Design. A prospective study was conducted on 365 patients with adolescent idiopathic scoliosis treated with the Dynamic SpineCor Brace.

Objectives. To evaluate the effectiveness of the Dynamic SpineCor Brace for the treatment of adolescent idiopathic scoliosis among those with milder and more severe curves.

Summary of Background Data. Prior to this study, we did an exhaustive literature review on traditional rigid braces available on the market such as Boston, \Wilmington, Milwaukee, Charleston and TLSO as well as the Dynamic SpineCor Brace (flexible and dynamic brace).

Methods. A group of 365 adolescents with idiopathic scoliosis were followed during the course of their treatment with the SpineCor Brace. The cohort of patients was divided into two groups according to their initial Cobb angle: 1) milder group: having a curve between 15° and 29° and 2) a more severe group: having a curve of 30° or more. A survival analysis was performed to estimate the cumulative probability of success during treatment and at post-treatment follow-up period. To be qualified as a success, the patient must have either a stabilization (± 5°) or a correction (more than 5°) of their initial Cobb angle. Failure was defined as a worsening of more than 5°.

Results. The survival analysis indicated a cumulative probability of success which is relatively stable for the patients in treatment with the SpineCor brace (Year 1: 1.00, 0.97;
Year 2: 0.96, 0.89;
Year 3: 0.85, 0.80; 
Year 4: 0.65, 0.70 for group 1 and 2 respectively) and which is maintained for the post-treatment follow-up period
(Year 1: 0.97, 0.88;
Year 2: 0.94, 0.88;
Year 3: 0.91, 0.84;
Year 4: 0.79, 0.84;
Year 5: 0.67, 0.84 for group 1 and 2 respectively). The conservative treatment was a success for 84.6% of the 120 patients who had 1 year post-bracing follow-up. Twenty-six patients were followed for 5 years after the end of the treatment by the Dynamic. SpineCor Brace. Of these, 65.4% obtained a permanent correction of their initial Cobb angle, 30.8% stabilized their Cobb angle and only 3.8% worsened without having recourse to the surgery.

Conclusion. The SpineCor Brace is effective for the treatment of adolescent idiopathic scoliosis. Moreover, the positive outcome appears to be maintained in the long turn.

Key words : Adolescent idiopathic scoliosis - Orthopaedic treatment - Dynamic SpineCor Brace

1. Centre de Recherche, Hospital Sainte Justine et Universite de Montreal, Canada.
2. Universite de Toronto, Toronto, Ontario
Auteur de correspondance: Charles H. Rivard, MD, F.R,C.S,(c), FAA.O.S., FA.C.S.
Centre de Recherche, Hospital Sainte Justine - 31 5Core Ste-Catherine - Montreal, Quebec Canada H3T1C5
Tel: 1-514-345-2344 - Fax: 1-514-345-4723
Email: Charles-hilaire.rivard@recherche-ste-justine.qe.ca

Resonances Europeennes du Rachis -Volume 14 N° 43 - 2006

COMPLIANCE OF THE BOSTON BRACE vs THE SPINECOR IN ADOLESCENT IDIOPATHIC SCOLIOSIS

Guan Tzu TAY, Alex TEO, Xunqi CHF,OW, Kevin LIM.
KK Women's & Children's Hospital, SINGAPORE.

PURPOSE

To compare the compliance of the Boston brace versus the SpineCor in patients with adolescent idiopathic scoliosis (AIS).

METHODS

Patients in our centre with MS who satisfied Scoliosis Research Society (SRS) criteria for bracing were included for study. Demographic data and brace type were captured at chart review. From telephone interviews we enquired about brace compliance and recorded any issues with the brace. These interviews were carried out no sooner than 3 months after brace commencement.

RESULTS

Between Jan 2008 and Dec 2009, 53 female patients (mean age 12) were recruited for study and advised to wear the brace 20 hours daily. There were 20 patients who chose the SpineCor, and 33 who chose the Boston brace. The average time of wear for the SpineCor was 17.1 hours (range 8-20; SD 5.17) while that for the Boston brace was 9.79 hours (range 1-20; SD 4.37); this was statistically significant (p=0.000). Our patients who chose the SpineCor said that this brace was more acceptable to them: it was not excessively warm, allowed for some flexibility and can be discreetly worn under clothing.

CONCLUSION

Compliance with the SpineCor was significantly better. Efficacy studies will help us understand whether improved brace compliance translates into better stabilization of scoliosis.

This abstract has beed submitted to IFPOS 2010.Seoul, KOREA.

ORIGINAL ARTICLE

Effectiveness of the SpineCor Brace Based on the New Standardized Criteria Proposed by the Scoliosis Research Society for Adolescent Idiopathic Scoliosis

Christine Coillard, MD,* Valerie Vachon, MSc,t Alin B. Circo, MSc,* Marie Beausejour, MScA,* and Charles H. Rivard, MD, FRCS(c), FAAOS, FACS*

Abstract 

The purpose of this prospective observational study was to evaluate the effectiveness of the Dynamic SpineCor brace for adolescent idiopathic scoliosis in accordance with the standardized criteria proposed by the Scoliosis Research Society Committee on Bracing and Nonoperative Management. They proposed these guidelines to make the comparison among studies more valid and reliable. From 1993 to 2006, 493 patients were treated using the SpineCor brace. Two hundred forty-nine patients met the criteria for inclusion, and 79 patients were still actively being treated. Overall, 17() patients have a definitive outcome. All girls were premenarchal or less than 1 year postmenarchal. Assessment of brace effectiveness included (1) percentage of patients who have 5 degrees or less curve progression, and percentage of patients who have 6 degrees or more progression; (2) percentage of patients who have been recommended/undergone surgery before skeletal maturity; (3) percentage of patients with curves exceeding 45 degrees at maturity (end of treatment); and (4) Two-year follow-up beyond maturity to determine the percentage of patients who subsequently underwent surgery. Successful treatment (correction, >5 degrees, or stabilization, 15 degrees) was achieved in 101
(59.4%) of the 170 patients from the time of the fitting of the SpineCor brace to the point in which it was discontinued. Thirty-nine immature patients (22.9%) required surgical fusion while receiving treatment. Two (12%) of 170 patients had curves exceeding 45 degrees at maturity. One mature patient (2.1%) required surgery within 2 years of follow-up beyond skeletal maturity. The conclusion drawn from these findings is that the SpineCor brace is effective tier the treatment of adolescent idiopathic scoliosis. Moreover, positive outcomes arc maintained after 2 years because 45 (95.7%) of 47 patients stabilized or corrected their end of bracing Cobb angle up to 2 years after bracing. Therapeutic study-investigating the results of treatment: level II.

Key Words

Adolescent idiopathic scoliosis, conservative treatment effectiveness, SpineCor brace, standardized criteria

(J Pediatr Orthop 2007;27:375-379)

From the 'Research Center, Sainte-Justine Hospital, Montreal, Quebec, Canada, and tSpineCorporat ion Limited.

Study conducted at the ResearCh Center, Sainte-Justine Hospital and University of Montreal, Canada.

Study was funded by the Research Center, Sainte-Justine Hospital and the Spine Corporation.

Reprint& Charles H. Rivard, MD, FRCS(c), FAAOS, FACS, Research Center, Sainte-Justine Hospital, 3175 C6te Ste-Catherine, Montreal, Quebec, Canada H3T 105. E-mail chri vardrggmai I.com.

Copyright © 2007 by Lippincott Williams & Wilkins

/ Pediotr Orthop • Volume 27, Number 4, June 2007  

Disability, and Rehabilitation: Assistive 'Technology, May 2008; 3(3): 112-119

A new concept for the non-invasive treatment of Adolescent Idiopathic Scoliosis: The Corrective Movement' principle integrated in the SpineCor System

CHRISTINE COILLARD, ALIN CIRCO & CHARLES H. RIVARD

Ste-Justine Hospital, Montreal, Canada

Abstract 

Purpose. To evaluate the change in spinal curvature and posture of Idiopathic Scoliosis patients when a curve specific 'Corrective Movement!' Principle' (CMP) is applied.

Methods. This prospective interventional study was carried out on a group of 639 patients (92.3% females) having idiopathic scoliosis treated with the SpineCor brace. All girls were prermenarchal or less than 1 year postmenarchal. Assessment of brace effectiveness followed the SRS outcome criteria far bracing. 'The clinical, radiological and postural evaluations assisted to define the patient classification, which guided the unique application of the CMP to each type of curvature. 

Results. A total of 583 patients met the outcome criteria. Overall, 349 patients have a definitive outcome. Successful treatment was achieved in 259 (74.2%) of the 349 patients from the fitting to the weaning of the brace. Some 51 immature patients (14.6%) required surgical fusion while receiving treatment. Eight mature patients out of 298 (2.7%) required surgery within 2 years of fallow-up beyond skeletal maturity.

Conclusion. The SpineCor brace is effective for the treatment of adolescent idiopathic scoliosis. Moreover, positive outcomes are maintained after 2 years because 151 (93.2%) of 162 patients stabilized or corrected their end of bracing Cobb angle up to 2 years after bracing. 

​

Medical Rehabilitation 2008. 12 (2) 1-6

The early results of the treatment of idiopathic scoliosis using the dynamic SpineCor brace

Wczesne wyniki Ieczenia skolioz idiopatycznych z zastosowaniem gorsetu dynamicznego SpineCor

Tomasz Potaczek (A,B,C,D,E,F), Maja Zarzycka (A,B,C,D,E,F), Ewa Lipik (A,D,E,F),Barbara Jasiewicz (B,F), Michat Zarzycki (B), Anna Kokot (C,F)

Department of Orthopaedic Surgery and Rehabilitation. Medical College, Jagiellonian University. Poland

Key words 

idiopathic scoliosis, conservative treatment, dynamic brace 

Summary

Introdcution: Idiopathic scoliosis is a three-dimensional deformation of the spine. Treatment of this condition depends on many factors, with curve magnitude (Cobb angle) and skeletal maturity (Risser sign) being the most important indices. In progressing curves of <40°, bracing is recommended. Different types of braces are available, most of them are of a rigid type. The SpineCor dynamic brace is a system of elastic bands designed to directly correct the spinal column deformity without restricting motion of the spine.

Aim of the paper: The aim of this paper is to present early results of adolescent idiopathic scoliosis treatment with the SpineCor brace.

Material and methods: Inclusion criteria for brace the application included the presence of a progressing curve in a skeletally immature child (Risser 0 — 3). The SpineCor brace was applied according to the principles of the method. The study group comprised 42 patients: 36 girls, 6 boys. The mean age at brace application was 11.9 years. The mean follow-up was 11 months. The mean initial curve size in the whole group was 33.1° in the thoracic spine and 29.4° in the lumbar spine. The evaluated group was subsequently divided into different subgroups depending on: initial curve size, curve type and sex. Results were classified as correction (decrease of curve site of 0=5.), stablisation (curve change +/- 5°) or progression (increase of curve size of >=5°).

Results: Mean curve size at die final follow-up was 293° in the thoracic spine and 25.5° in the lumbar spine. Twenty one patients improved (50%), 14 had curve stabilisation (33.3%) and 7 progressed (16.6%). The best results were achieved in curves lower than 25° Cobb angle (p < 0.05) - 60% of patients improved. In contrast, in the over-45° group, only 37.5% of patients unproved. No significant differences were found between treatment results with regard to sex. 

Conclusion: SpineCor brace seems to be a good alternative for rigid braces, especially in minor curves. It enables preservation of motion of the spine. This type of brace is easily accepted by young patients. Further follow-up is needed to present long-term results. 

Oral presentation

The use of the SpineCor Dynamic Corrective Brace in Greece: a preliminary report

Irini Tsakiri*1, Vangelis Vakaloglou,2 Kostantinos Karvounis2, Petros Kattou3, and Panagiotis K Soucacos4

Address. 'Osteopath Private Practice and Biomagnetic Ltd. 2Private Company. 3Asclepios Centre, Private Practice. Greece and 4Central Clinic of Athens, Private Clinic, Greece 
​• Corresponding author

from 5th International Conference on Conservative Management of Spinal Deformities
Athens, Greece 3-5 April 2008

Published. 15 January 2009
Scoliosis 2009. 4(Suppl 1):035 doi:10.1186/1748-7161-4S1-035

This abstract is available from http://www.scoliosisjournal.com/contend/4/S1/035
© 2009 Tsakiri et al. licensee BioMed Central Ltd