Guest guest Posted April 14, 2001 Report Share Posted April 14, 2001 Because of her location, my 14 y/o niece cannot connect to the internet to get more information on her diagnosed scoliosis. She has a 23 degree thoracic curve to the left, and a 21 degree lumbar curve to the right. Looks 'S' shaped on x-rays. Her doctor/orthopod has suggested treatment with what he called a 'Risser Jacket' for 3 months, followed by a Boston or Milwaukee after that until maturity, or the need for surgery became evident. We both know about the boston/milwaukee, but what is a Risser Jacket? She is quite active, so how will this affect that? Thanks. Bob. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 17, 2001 Report Share Posted April 17, 2001 Hi . what kind of scoliosis does your niece have? My son had an idiopathic scoliosis, but there are other kinds. Her curves are low yet, so she might have luck with her brace. Do you have more details? Marcia in PA Information for my niece re: treatment method. > Because of her location, my 14 y/o niece cannot connect to the > internet to get more information on her diagnosed scoliosis. > > She has a 23 degree thoracic curve to the left, and a 21 degree > lumbar curve to the right. Looks 'S' shaped on x-rays. > > Her doctor/orthopod has suggested treatment with what he called > a 'Risser Jacket' for 3 months, followed by a Boston or Milwaukee > after that until maturity, or the need for surgery became evident. > > We both know about the boston/milwaukee, but what is a Risser Jacket? > > She is quite active, so how will this affect that? > > Thanks. > > Bob. > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2001 Report Share Posted April 19, 2001 > > > Hi . > what kind of scoliosis does your niece have? > My son had an idiopathic scoliosis, but there are other kinds. Her curves > are low yet, so she might have luck with her brace. Do you have more > details? > > Marcia in PA 's has been classified as idopathic at this time. She saw the doctor again today, and he says that if he does use the risser jacket, it would be made from moulded plastic rather than plaster or fiberglass. Seems he does care that the plaster would be very uncomfortable in the heat of summer. The bad part about the plastic is it would be worn just like the plaster one would be..once put on, never taken off until time to make changes. He is going to fuse the plastic somehow so it becomes one solid unit. The advantage is she can still bathe and shower in it, and even swim some as long as she showers well afterwards to get any chlorine out. I'll fill in more details as I get them. Thanks for all the notes and encouragement we have received from the group members. Bob. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2001 Report Share Posted April 19, 2001 Hi Bob... How old is your niece? I haven't heard of casts (plaster) being used, except for very young children, for many years. And, I think I've heard of the Risser jacket, but only as a post-op treatment. Regards, Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2001 Report Share Posted April 20, 2001 and Bob, I am not a doctor or any sort of health care expert - but I have seen the Risser jacked used pre-operatively in Europe (Italy to be exact). From what I understood - and please take what I'm saying with a grain of salt, the Risser jacket differs from a " normal " cast because it attempts to derotate the vertebrae. The Risser jacket I saw was in plaster however.... back in the dark ages. , you might want to check this out with someone as I don't want to be sending wrong information around. The results I saw were excellent. The Europeans tend to do more pre-op casting and bracing in the hopes of blocking the scoliosis and keeping it blocked at an acceptabe level to give the patient more time with a " normal " rather than a fused back. It's just another approach to the scoliosis problem. Best, from Italy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2001 Report Share Posted April 20, 2001 My 11 year old daughter wore the Wilmington brace for a year and a half (23 hours a day). It is made from a mold and is not too heavy. She wore it last summer, and although she hated it, it wasn't too bad. She could take it off for swimming, etc. I do recommend it. She also has idiopathic scoliosis. Her curve started out at 30 degrees, but did progress to 54 nonetheless. On the 16th she had spinal fusion done. She'll hopefully be coming home from the hospital tomorrow. She was fused from T2 all the way to L1. It was longer than we all expected, but at least she is now straight and won't have to wear a brace again. Everyday really does get better (even though she won't always admit it). Good luck! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2001 Report Share Posted April 20, 2001 , I don't know anything about the Risser brace. Does your insurance pay for it? We were investigating the Copes brace which works by inflating and deflating air pockets to make and keep the adjustment in place. The brace is only part of a several part plan, but our insurance didn't cover it and it was quite expensive (for the entire plan). After almost a year of trying and trying to get it covered, the Institute finally admitted to me that they had never gotten insurance to cover it. We would have to look to alternate financing ( loan, family aid, something) and when I asked if there was any proof that it would help curves over 65 degrees, they said, sure...but didn't have any documentation to back it up. I have no doubt it would have made Mike more comfortable...any back support would have helped. No doctor..not one...would prescribe any brace. But by then all my research had said that no brace would help over 65 degrees. H hope you have luck with your brace since your niece's curve is still treatable. Keep in touch. Marcia Re: Information for my niece re: treatment method. > > > > > > > Hi . > > what kind of scoliosis does your niece have? > > My son had an idiopathic scoliosis, but there are other kinds. Her > curves > > are low yet, so she might have luck with her brace. Do you have > more > > details? > > > > Marcia in PA > > 's has been classified as idopathic at this time. > > She saw the doctor again today, and he says that if he does use the > risser jacket, it would be made from moulded plastic rather than > plaster or fiberglass. Seems he does care that the plaster would be > very uncomfortable in the heat of summer. The bad part about the > plastic is it would be worn just like the plaster one would be..once > put on, never taken off until time to make changes. He is going to > fuse the plastic somehow so it becomes one solid unit. The advantage > is she can still bathe and shower in it, and even swim some as long > as she showers well afterwards to get any chlorine out. > > I'll fill in more details as I get them. Thanks for all the notes > and encouragement we have received from the group members. > > Bob. > > > > > > Quote Link to comment Share on other sites More sharing options...
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