Scoliosis
ORAL PRESENTATION
Open Access
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.
Objective
The objective of this study was to determine the effective-ness of the SpineCor brace in patients with adolescent idiopathic scoliosis treated in Seville, Spain.
Background
he SpineCor brace is used at St. Justine Children's Hospital in Montreal. Their results daim that SpineCor is an effective treatment for AIS. We chose to study the effect of this brace on our patients and see if it was similar to the Montreal results.
Methods
Thirty seven patients were treated using the SpineCor Brace in Seville. Of the 37, 33 patients met criteria of the SpineCorporation international multicenter study treatment protocol. These patients were still under treatment and had not yet achieved a definitive outcome (two years follow-up post brace treatment). The girls were premenarchat or less than 1 year postmenarchal. Effectiveness was looked at using the following parameters: (1) a percentage of patients with an initial Cobb angle reduction of 5 degrees or greater; (2) percentage of patients with an initial Cobb angle increase or decrease of less than 5 degrees; (3) percentage of patients with an initial Cobb increase of 5 degrees or greater; (4) the number of cases progressing to require surgery or undergone surgery.
Results
At the end of the first year, successful treatment (correction > 5 degrees, or stabilization +/- 5 degrees) was
Results At the end of the first year, successful treatment (correc-tion > 5 degrees, or stabilization +/- 5 degrees) was
achieved in 32 of the 33 patients studied from the time of fitting of the SpineCor Brace to the point at which that last Cobb angle was measured during bradng. This meant an overall correction and stabilization for 97% of the patients in Seville, Spain during their first year of treat-ment. 1 out of 33 patients (3%) had curve progression of more than 5 degrees and underwent surgery.
Conclusion
The SpineCor Brace is a potentially effective treatment for adolescent idiopathic scoliosis. We need to continue our study over a longer period until patients achieve a definitive result. However, these initial results seem promising and are similar to the initial results originally achieved at St Justine Children's Hospital.
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