THE SPINECOR BRACE IN THE TREATMENT OF SCOLIOSIS: THE PERTH EXPERIENCE
*Kumar A, Crameri S, Chenik D, Woodland P, Dillon D
Royal Perth Hospital, Perth, WA Australia
INTRODUCTION
Bracing is a generally accepted form of treatment for scoliosis in skeletally immature individuals with Cobb angle of
more than 20 deg. The efficacy of bracing is rather more controversial, mainly due to issues with study design and
methodology. Compliance is also a major concern with the rigid bracing systems such as the Boston brace. We
present our experience with the SpineCor bracing system, which is a low profile system that is also less restrictive.
This dynamic system relies on the patients’ corrective movements and also offers rotational correction.
METHODS
This is a retrospective case-note and radiological study with prospective data collection. Data collected include Risser
scores, Cobb angles and conversion rates to rigid braces and to surgery. The SpineCor cohort is compared to a rigid
brace cohort used as a historical case control series. All patients were treated in one institution by 2 surgeons and
were under the care of 1 orthotist throughout their duration of treatment.
RESULTS
A total of 29 patients have completed treatment with this brace at the time of this study. Risser score at start of
treatment was 2 or less in almost all patients. Average time in brace was 16 months (4-38). Only 4 out of the 29
patients went on to progress by more than 5 deg (13.8%). 5 patients ended up requiring surgery (17.2%). 9 patients
were converted to a rigid brace and 3 of these went on to have a surgical correction and fusion. The average
correction in the group that was treated exclusively with the SpineCor brace was a decrease in Cobb angle of 5.6 deg
(-26 to 8).
CONCLUSIONS
Our progression rate of 13.8% compares favourably with the expected progression rate of 68% in this group. Our
surgical conversion rate was also low at 17.2% - which compares favourably to the expected rate of 60%. Our control
group, which was treated with a modified Boston type rigid brace showed a progression of more than 5 deg in 13 out
of 32 patients (40.6%) and a surgical conversion rate of 11 patients (34.4%). We conclude that the SpineCor brace is
an effective device for the brace management of scoliosis in a select group of patients. It is also potentially less
restrictive and hence could encourage better compliance rates.
Please contact our office for a complimentary Xray review consultation to see if our scoliosis treatment and scoliosis soft bracing is a good fit for your child.
(Unpublished Paper - 2013)
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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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