Scoliosis
ORAL PRESENTATION
Open Access
Oral presentation
SpineCore treatment for early scoliosis: 15° to 24°
Christine Coillard, Alin B Circo and Charles H Rivard*
Address. Sainte Justine hospital, Montreal, canada
• Correspondent author
from 5th International Conference on Conservative Management of Spinal Deformities
Athens, Greece. 3-5 April 20013
Published: LS January 2009
Scoliosis 2009. 4(Suppl I):034 doi:10.1186/1748-7161-4S1-034
This abstract is available from: http://scoliosisjournale.com/content/4/S1-034
© 2009 Coillard et al; licensee BioMed Central Ltd.
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.
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**Pinnacle Chiropractic stood out amongst its competitors by winning the first place title for the 10th year. Dr. Casselman, DC and Pinnacle Chiropractic won the coveted best chiropractor award, which falls under the medical category of the competition. Each year area residents vote by mail or online for their favorite local businesses. The votes are tallied by the Colorado Community Media and include 24 of Colorado’s local communities. The business with the most votes in each category is named the Best of the Best for that specific category for that town. The Colorado Community Media is a collaborative project between Mile High Newspapers, Community Media of Colorado and MetroNorth Newspapers.
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