Scoliosis

ORAL PRESENTATION 

Open Access

Purpose

purpose of this prospective observational study was to evaluate the effectiveness of the Dynamic SpineCor brace for early adolescent idiopathic scoliosis following the outcome SRS criteria

Methods

From 1993 to 2007, 615 patients were treated by the SpineCor brace. 238 patients had a Cobb between 15.-24° and respected the inclusion criteria and 123 finished their treatment. For those 123 patients the assessment of brace effectiveness included; I ) 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/undergone before skeletal maturity, 3) percentage of patients who promised beyond 45° at maturity and 4) 2-years follow-up beyond maturity to determine the percentage of patients who subsequently undergo surgery. 

Results

Successful treatment (correction >5' or stabilization ± 5°) was achieved in 88.6% (comparing with 82.7% for the 25.-40 °cohort) of patients from the time of the fitting of the SpineCor brace to the point in which it was discontinued. 2 immature patients required surgical fusion while receiving treatment From the total of 123 patients with a definite outcome, 76 have 2 years and 35 have 5 years follow-up. 

Conclusion

The SpineCor brace is effective for the treatment of early adolescent idiopathic scoliosis, and it seems that the

results are better with an early bracing. Moreover, the positive outcome appears to be maintained in the long term. 

References

1. Weiss HR, SpineCor vs. Natural History - explanation of the results obtained using simple biomechanical model. Stud Health Technal Inform 2008. 140:133-6.

2. Wang MS et al: The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance of the patients with adolescent idiopathic scoliosis. Spine 33(12):1360-5. 2008 May 20

3. Christine C. Alin C. Rivard CH. Treatment of early adolescent idiopathic scoliosis using the SpineCor System. Stud Health Technal Inform. 2008.135:341-55.

Coillard et al. scoliosis 2012, 7(Suppl 1):02S http://wwwsscoliosisjournal.com/content/7/S1/025

ORAL PRESENTATION 

Open Access

Background

The purpose of this retrospective cohort study was to evaluate the effectiveness of the Dynamic SpineCor brace for large adolescent idiopathic scoliosis (40,50°) compared to moderate (30,40°) and small curves (15,30°) [1,2]

Materials and methods

657 consecutive scoliotic patients that accepted the treat-ment and had a definite outcome were included in this study. We divided the patients in tree groups depending on the initial Cobb angle: 15-29° (n=378), 30-39° (n=207) and 40-50° (n=72). Assessment of brace effectiveness included; 1) percen-tage 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 before skeletal maturity.

Results

Success of the treatment (stabilisation or correction) was achieved in 80.8% of patients with small comes compared to 62.9% for moderate and 46% for large curves. Progres-sion of curves was observed in 14% of small curves com-pared with 28.996 for moderate and 48.5% for large curves. Two years follow-up post treatment 24.2% (for small), 17% (moderate) and respectively 16% (large) of patients that finished the treatment still corrected their Cobb angle without wearing the brace. 

Conclusions

The SpineCor brace is effective for the treatment of large adolescent idiopathic scoliosis comparing with moderate curves. Moreover, the positive outcome appears to be maintained in the long term. 

Published: 27 January 2012

References

1. Collard C, Circo AB, Rivard CH: SpineCor treatment for Juvenile Idiopathic scoliosis: SOSORT award 2010 winner. Scoliosis. 2010, 5:25.

2. Collard C, Vachon V, Circo A, 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 Orthop 2007:375-379.

doi:10.1186/1748-7161-7,S1-025
Cite this article as: Collard et at: Effectiveness of the SpineCor treatment for large scollotic curves compared to moderate and small curves. Scoliosis 2012 7(Suppl 1):025

Coillard er af. Scoliosis 2010, 525 http://www/scoliosisjournal.com/content/5/1/25

ORAL PRESENTATION 

Open Access

Collard et at Scoliosis 2010, 5(Suppl 1):056 http://www.scoliosisjournal.com/content/5/S1/056

ORAL PRESENTATION 

Open Access

Introduction

The purpose of this prospective interventional study was to evaluate and confirm the effectiveness of the Dynamic SpineCor brace for idiopathic scoliosis and to evaluate the stability of the spine after the weaning point. 

Materials and methods

From 1993 to 2009, 949 patients were treated by the SpineCor brace. 576 patients had a definite outcome and 373 are still actively being treated. Tin assessment of brace effectiveness was done following the outcome criteria recommended by the SRS. 

Results

The 576 patients with a definite outcome followed the same pattern of result presented before, 36.3% corrected their Cobb angle with at least 5° and 31.3% had a stabilization of their Cobb angle. Out of all patients with a definite outcome, 16.1 % of patients had surgical recommendation before skeletal maturity and only 9.7% had a progression of their Cobb angle. Looking at the stability of the curves after the end of the treatment, out of the patients that finished the treatment and had at least 2 years of follow-up, 14.5% continued their correction even without the brace and it seems that the correction continues more with time because 33.3% of those patients who had at least 5 years follow-up still corrected their Cobb angle after the weaning of the brace. 

Discussion

Comparing the natural history of the disease and the already published literature these results tend to confirm that it is possible to obtain a correction and a stabilization of the pre-treatment Cobb angle and it seems

possible to maintain and improve the success 2 and even 5 years after the weaning point. This findings suggest that the SpineCor Bracing System can alter the natural history of the AID and its use in the conservative treatment of this disease is justified. 

Conclusions

In conclusion, the SpineCor brace is effective for the treatment of idiopathic scoliosis. Moreover, the positive outcome appears to be maintained and even improved in the long term 

Published, 10 September 2010

doi: 10.1186/1748-7161-5-s1-056
Cite this article as: Coillard et al, SpineCore treatment for idiopathic scoliosis; updates and follow-up results. Scoliosis 2010 5(Suppl 1):056

Collard et at. scoliosis 2012, 7(Suppl 1):024 http://www.scoliosisjournal.com/content/7/S1/024

ORAL PRESENTATION 

Open Access

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.

Herrero and Herrero Scoliosis 201Z 7(Suppl 1)039 http://www.scoliosisjournal.com/content/7/S1/039

ORAL PRESENTATION 

Open Access

Purpose of the study

The purpose of this study was to evaluate the effective-ness of the Dynamic SpineCor brace as a new treatment for adolescent idiopathic scoliosis (1,2).

Materials and methods

117 scoliouc patients at our clinic accepted the Spine-Cor brace and 34 (30 females and 4 males) have already finished the treatment. Assessment of brace effectiveness included percentage of patients who have 5° or less curve progression and the percentage of patients who have 6° or more progression at skeletal maturity. We employed the SRS22 and CAVIDRA questionnaire for the evaluation of patients' quality of life while using the SpineCor System. 

Results

Success of the treatment (stabilisation or correction) was achieved in 883% of patients and only 11/% had a pro-gression of their Cobb angle. Out of 34 patients, 18 (52.9%) had a correction and 12 (353%) had a stabilisation of their initial Cobb.

Conclusions

The SpineCor brace is an effective treatment for the adolescent idiopathic scoliosis. Even though until now we have a small number of patients treated, the results are extremely promising. 

Published 27 January 2012

References

1. Collard C Circo AB, Rivard CH: SpineCor treatment for Juvenile Idiopathic Scoliosls: SOSORT award 2010 winner. Scoliosis% 2010, 525.

2. Collard C Vachon V. Circo A. 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 Pediar Orthop 2007, 27:375-379

Doi: 10.1186/1748-7161-7-S1-039
Gte this article as: Herrero and Herrero- SpineCor treatment - the Spanish experience. First results. Scoliosis 2012 7(Suppl 1):039.

Stud Health Technol Inform. 2012;176:379-82.

© Polish Orthopedics and Traumatology, 2013; 78: 85-89

www.POLORTHOPTRAUMATOL.com
Original Article

Ersen et al. Scoliosis 2013, 8(Suppl 1):P8
http://www.scoliosisjournal.com/content/8/S1/P8

ORAL PRESENTATION 

Open Access

Background

Brace treatment in idiopathic scoliosis is the only efficacious method of non operative treatment. The effective-ness of dynamic SpineCor brace with corrective movement principle has been shown, but differences between rigid braces and SpineCor brace is still unclear.

Aim

The aim of this study is to evaluate differences between rigid brace and SpineCor brace in terms of curve progression, spinal height increase, and SRS-22 questionnaire during treatment. 

Method

A total of 76 consecutive adolescent idiopathic scoliosis patients who were treated with brace were included in this study. 45 patients were treated with SpineCor brace, 31 patients were treated with rigid braces. After detail-ing braces and their costs, choice was made by patients' family. Patient's height, T1-Coccyx distance, gibbosity, and Cobb angles were documented at the beginning of the treatment and last control At last visit SRS-22 ques-tionnaire applied to the patients to evaluate clinical effect of braces.

Results

Average age of SpineCor group was 12.811.5 and average follow up period was 25±10.6 months. In rigid brace, the group average age was 12.2±1.3 and average follow up period was 23±6.7months. There were no differences between groups according to age, gender, height, TI-Cx distance, Cobb angles, gibbosity before brace treatment initiated. In both groups, height and T1 -Cx distance increased and there were no difference. Cobb angle

decreased 1.5° in SpineCor group and increased 1.1 ° in rigid brace group (p=0,137). Gibbosity decreased 0.6° in SpineCor group and increased 0.3° in rigid brace group (p=0,086). According to SRS-22 questionnaire, SpineCor brace patients' pain, self image and activity/function scores were statistically better than rigid brace patients' scores, while mental health and satisfaction from treat-ment scores were similar.

​Conclusions

Although SpineCor brace and rigid braces have similar effects on curve correction, height and spinal height, the real benefits of SpineCor brace is less pain, less anxiety about self image and more activity, and function. 

Published: 3 June 2013

References

1. Collard C. Circo AB, Rivard CH SpineCor treatment for Juvnenile Idiopathic Scoliosis: SOSORT award 2010 winner. Scoliosis, 5:25

2. Alanay A, CII A, Berk H, Acaroglu RE, Yazici M. Alcali O. Kosay C, Genc Y, Surat A: Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine 2005, 30(21):2464-2468.