Radiological Evaluation of Treatment with SpineCor Brace in Children with Odiopathic Spinal Scoliosis

Barbara Plewka1 (A,B,C,D,E,F,G), Marcin Sibinsky2 (B,D,E,F), Marek Synder2 (B,D,E,F), Dariusz Witonsky3 (B,D,E,F), Katarzyna Koldziejczyk-Klimek1 (A,B,D,E,FG), Michal Plewka4 (A,B,D,E,F)

1Oddzial Rehabilitaj dla Dzieci, WOjewodzkie Centrum Ortopedii I Rehabilitacji Narzadu Ruchu
2Klinika Ortopedii I Ortopedii Dzieciecej Uniwersyteu Medycznego, Lodz
3Oddzial Kiliniczny Chinurgii Rekonstukcyjnej I Atroskopowej Stawu Kolanowego Uniwersytetu Medycznego, Lodz
dKtedra I Klinika Kardiologii Uniwersytetu Medycznego, Lodz
1Rehabilitation Deaprtment for Children, Z. Radlinski Hostpial Lodz
2Clinic of Orthopaedics and Paediatric Orthopaedic Medical University of Lodz, Poland
3Department of Reconstructive Surgery and Arthroscopy of the Knee, Medical Uinversity of Lodz, Pland
4Clinic of Cardiology medical University of Lodz. Polan

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SUMMARY 

Background. This paper reports on a radiological evaluation of the outcomes of treatment with the SpineCor brace in children with idiopathic spinal scoliosis vs. a control group who had only received 24 months of rehabilitation. The compliance of the SpineCor-treated patients with medical instructions was also smeared.

Material and methods. A prospective evaluation encompassed a group of forty (40) children, treated with a SpineCor brace for idiopathic scoliosis. A control group included forty (40) children who were followed up. The mean age of the children was 12.0 years and sixty-six (666) of the patients were girls. The study group and the control group were comparable in terms of demographic data and radiological parameters of scoliosis. The mean scoliosis angle was 25.3' and 26.1 in the thoracic and lumbar spine, respectively.

Results. In the (SpineCor-treated) study group, stabilisation or improvement of the scoliosis was obtained in 31 (78%) patients, while progression was noted in 9 (22%). In the control group, stabilisation was found in 21 (53%) patients and progression in 19 (47%), while none of the children met improvement criteria. In the brace-treated group, a smaller change in the thoracic curvature angle was observed (R=0.34, p=0.0001) than in the control group, while no such difference was identified at the lumbar spine level (R,0.15, p=0.18). Out of the 40 treated children, 38 used the brace regularly. Four of the children were active m sports above recreation level.

Conclusions. The treatment of idiopathic. spinal scoliosis in children by means of the SpineCor dynamic brace solution significantly more frequently led to stabilisation or correction of scoliosis as measured by Cobb's angle. A high compliance children and their parents was also observed. 

Key words: idiopathic scoliosis, SpineCor brace, conservative treatment, results, radiography 

A prospective interventional cohort study of 175 patients treated by the SpineCor orthosis, following the Scoliosis Research Society Criteria

C Coillarcl, A Circo, CH Rivard

From 9th International Conference on Conservative Management of Spinal Deformities - SOSORT 2012 Annual Meeting
Milan, Italy. 10-12 May 2012

Ste. Justine Hostpital, Montreal Canada 

First experiences in the treatment of juveniles and idiopathic scoliosis with SpineCor braces

A Sarchioto

From 9th International Conference on Conservative Management of Spinal Deformities - SOSORT 2012 Annual Meeting Milan, Italy. 10-12 May 2012

ASL BN1, Benevento, Italy

​A prospective randomized controlled trial of the natural history of idiopathic scoliosis versus treatment with the spinecor brace
[[Sosort 2011 Award Winner]]

G. COLLARD A.B. CIRCO C. H. RIVARD

Aim. The purpose of this randomized controlled trial was to evaluate the efficacy of the Dynamic SpineCor brace for early idiopathic scoliosis (15,309 compared to the natural evolution of the disease. 68 patients participated in this study (32 treated and 36 controls) with at least 5 years follow-up.

Methods. The inclusion criteria were: 1) high risk of evolution: family history and/or proven progressive; 2) no significant pathological malformation of the spine; 3) initial Cobb angle between 15° and 30°, 4) riser 0, 1 or 2. Assessment of brace efficacy included the percentage of patients who have 5° or less curve progression and the percentage of patients who have 6° or more progression at skeletal maturity.

Results. At five-year follow-up a correction was achieved in 50% of treated patient and only 9.5% of controls, stabilization in 42.3% treated and 47.7% in controls and progression in 26.9% for the treated group and 42.8% for control. For the control patients we considered as failure if the Cobb angle worsened by more than 5° from the original angle and the patient then received treatment.

Conclusion. The results 5 years after the treatment suggested that the SpineCor brace reduced the probability of the progression of early idiopathic scoliosis comparing with its natural history. Moreover, the positive outcome appears to be maintained in the long term.

Key words: Scoliosis – Braces – Spine.

​Difference Between Spinecor Brace And Thoracolumbosacral Orthosis For Deformity Correction And Quality Of Life In Adolescent Idiopathic Scoliosis

2016, N° 4 (Vol. 82/4) p.710-714 Omer ERSEN, Serkan BILGIC, Kenan KOCA, ToIga EGE, Erbil OGUZ, Ahmet Burak BILEKLI From the Gulhane Military Medical Academy, Turkey

Abstract

Although there are several conservative treatment options, only bracing has been found to be effective in preventing curve progression and a subsequent need for surgery in adolescent idiopathic scoliosis. The objective of this study is to compare the results of SpineCor brace and thoracolumbosacral orthosis (TLSO) for treatment of adolescent idiopathic scoliosis radiologically and clinically. Sixty-four patients with adolescent idiopathic scoliosis treated with brace included in this study. Height, TI-Coccygx distance, and gibbosity were measured. Rib hump deformity was evaluated with a scoliometer. An SRS-22 questionnaire was used to determine the quality of life of patients after the first year of brace treatment. Differences in Cobb angles and gibbosity were insignificant for both groups. SRS-22 questionnaire results showed significant differences in pain, self-image and function/activity subgroups. Patients' mental health and satisfaction scores were insignificant. These braces have a similar effect on deformity correction. The surgery rates and success rates of braces are approximately equal. The major difference between SpineCor and TLSO is health-related quality of life. 

ORIGINAL PAPER

​Application of the SPINECOR dynamic corrective brace in treating idiopathic scoliosis

Zaztosowanie gorsetu dynamicznego SpineCor w leczeniu idiopatycznego skrzywienia kregoslupa

Maciej Kolban, Aleksander Szwed
Department of Pediatric Orthopedics and Traumatology, PMU in Szczecin

Abstract

Introduction. The indication for using an orthopedic corset is idiopathic scoliosis inchildren and adolescents with undeveloped osteoarticular system with a Cobbangle within 20-45°.  Forover 10 years, apart from the TLSO corset, the SpineCor dynamic brace has also been used. Observations and reports in literature from this period prove that their effectiveness in the treatment of scoliosis is comparable or even higher than existing methods of conservative treatment. The aim of the study is to evaluate the effectiveness of correction of scoliosis using SpineCor dynamic brace.

Materials and method. The study included 84 patients who used a dynamic corset to treat idiopathic scoliosis. The average age at the start of treatment was 12 years and 4 months. The treatment was continued for minimum of 12 months, assessing the angle of scoliosis before treatment, when using the brace and 6 months after its discontinuation. The correction of the angle of scoliosis by more than 5° was considered to be positive treatment outcome, as was the stabilization of scoliosis, i.e. scoliosis maintained at the same angle before treatment (Cobb angle change less that 5°). Progression of scoliosis by angle exceeding 5° was considered negative treatment outcome.

Results. In the study group satisfactory results of SpineCor brace treatment were obtained in 68 patients (81%), 40 patients out of those 68 (48%) achieved scoliosis stabilization, and 28 patient achieved scoliosis correction (33%). In 16 patient (19%) treatment outcome was unsatisfactory. Three patient in the group with unsatisfactory treatment required surgical correction of scoliosis.

Conclusion. 1. In the group of 84 patients. A good outcome, correction or stabilization of scoliosis was obtained in 81% of patients receiving treatment 2. Nearly 90% of patient accepted and followed the recommendations of dynamic brace treatment.

Key words: scoliosis, dynamic brace, spinecor

J. Phys. Ther. Sci. 30:680-684,2018

The Journal of Physical Therapy Science

Case Study

Is early treatment for mild adolescent idiopathic scoliosis superior over the traditional 'watch & wait' approach? A case report with long-term follow-up

PAUL A. OAKLEY
Private Practice: 11A-1100 Gorham Street, Newmarket, Ontario L3Y 8Y8, Canada

Abstract. [Purpose] To present a case of the complete correction of mild suspected adolescent idiopathic scoliosis in support of the argument that early aggressive treatment is superior to the traditional ‘watch & wait’ approach [Subject and Methods] A 9-year old female presented with a 14° thoracic curve indicative of early adolescent idiopathic scoliosis. The parents consented to immediate and early treatment with the SpineCor dynamic and corrective scoliosis brace. The brace was worn 20 hours per day and check-ups were performed every three months. [Result] The patient achieved complete correction of the thoracic curve with 9-months. The child was followed for 4.5 years until she approached near cessation of skeletal growth (Risser sight grade-4) at the age of 14 years, 4-months. The patient’s spine remained straight throughout the follow-up [Conclusion] This report as well as others suggests that the SpineCor bracing system is a unique and effective intervention for mild scoliosis. Further, this case illustrates and ideal outcome and supports the argument that initiating treatment at the earliest indication of suspected idiopathic scoliosis sould offer superior outcomes versus the traditional ‘watch & wait’ approach. Last radiation exposures associated with radiography for scoliosis treatment and management are negligible and not harmful.

Key words: Adolescent idiopathic scoliosis, Scoliosis brace. Watch and wait

(This articles was submitted Dec 12, 2017, and was accepted Feb 7, 2018)