​RESULTS OF SPINECOR DYNAMIC BRACING
FOR IDIOPATHIC SCOLIOSIS

Szwed A, Kołban M.

Source
Department of Paediatric Orthopaedics and Traumatology, Pomeranian Medical University, Szczecin, Poland.

Abstract

Background:
Orthopedic bracing is used in conservative treatment of spinal curvatures. Apart from rigid braces, SpineCor dynamic braces with a flexible design have recently become available. The idea behind dynamic bracing is that derotational and correcting forces are transmitted via a system of corrective bands. The essence of this technique is maintenance of spine mobility while effecting a position in which all components of the three-plane deformity are corrected.The aim of this study is to evaluate early outcomes of SpineCor dynamic brace treatment for idiopathic scoliosis according to SRS methodology and criteria.

Material And Methods:
The study group included 50 patients who were using SpineCor braces due to idiopathic scoliosis. The indication for bracing was the finding of a >15° spinal curvature in skeletally immature patients (Risser grade 0-3). Correction or stabilization of the scoliosis (Cobb angle change of ±5°) were recognized as positive outcomes, while a negative outcome was defined as progression of the curve of more than 5° or to a value necessitating operative treatment. The study group was divided in to subgroups at enrollment, according to gender and degree of scoliosis.

Results:
In the entire study group, correction was demonstrated in 24 patients (48%), stabilization in 14 (28%) and progression in spite of bracing occurred in 7 patients (14%). Five patients in the entire study group (10%) required operative treatment due to rapid curvature progression.

Conclusions:
SpineCor bracing leads to stabilization of scoliosis in the majority of the patients. Introducing the SpineCor brace in patients with a scoliosis angle over 20° and Risser grade 0-3 very effectively prevented curve progression.