Guest guest Posted September 1, 2008 Report Share Posted September 1, 2008 I did some research on line and see information on the spinecore brace instead of the boston brace. IT sais it allows movement, and can actually correct some of the curve. has anyone here tried it? thank you Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2008 Report Share Posted September 1, 2008 > I did some research on line and see information on the spinecore brace instead of the boston brace. IT sais it allows movement, > and can actually correct some of the curve. has anyone here tried it? thank you newtodaisy, there's an ever-growing view by doctors that bracing (and that goes for any type of bracing) is nothing more than a measure to make the parents feel as if *something* is being done. Currently, a study is underway at Shriners Houston to examine the results of bracing vs. no treatment at all. Hopefully it will produce some useful data. You don't saw whether you're simply curious or you have a child for whom bracing has been suggested. Either way, you might find the full text of the abstract below of some interest. If you are not currently seeing an ortho, the full-text article can be purchased online. If you are seeing one, he can probably provide you with a copy. It appeared in the May 2008 edition of Spine. (direct link to abstract): http://www.ncbi.nlm.nih.gov/pubmed/18496349 <http://www.ncbi.nlm.nih.gov/pubmed/18496349> 1: Spine. 2008 May 20;33(12):1360-5. The effect of rigid versus flexible spinal orthosis on the clinical efficacy and acceptance of the patients with adolescent idiopathic scoliosis. Wong MS, Cheng JC, Lam TP, Ng BK, Sin SW, Lee-Shum SL, Chow DH, Tam SY. Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Kowloon, Hong Kong. m.s.wong@... <mailto:m.s.wong@...> STUDY DESIGN: A prospective study on the comparison of the clinical efficacy and patient's acceptance of the 2 orthotic management methods. OBJECTIVE: To compare the treatment effectiveness and patients' acceptance of the flexible spinal orthosis, SpineCor with that of the rigid spinal orthosis for the patients with moderate adolescent idiopathic scoliosis. SUMMARY OF BACKGROUND DATA: The patients' acceptance to the rigid spinal orthoses is always a concern as it could greatly affect the clinical outcome. SpineCor is a relatively new design for tackling those inevitable drawbacks found in rigid orthosis. However, there was no study to compare this design with the conventional method regarding their treatment efficacy and the patient's acceptance. METHODS: Forty-three subjects with moderate adolescent idiopathic scoliosis were randomly assigned to the SpineCor group (S group, n = 22) and rigid orthosis group (R group, n = 21). Their survival rate in the first 45 months of intervention was studied. The subjects' acceptance to the orthoses was evaluated by a purpose-designed questionnaire, which was administered in the 3rd, 9th, and 18th months of intervention. RESULTS: In the study period, there were 68% of the subjects in the S group and 95% of the subjects in the R group did not show curve progression. Significant difference (P = 0.046, by Fisher exact test) in failure rate between the 2 subject groups was found although the 2 groups had similar responses to the questionnaire. CONCLUSION: The current study showed that the failure rate of the SpineCor was significantly higher than that of the rigid spinal orthosis, and the patients' acceptance to the SpineCor was comparable to the conventional rigid spinal orthosis. PMID: 18496349 [PubMed - indexed for MEDLINE] Regards, Pam 40 yr old female, dx'd JIS & Boston braced @ age 10 Non-progressing ±53° right thoracic curve (surgery performed to address pain) ... Post-op curve ±20° Posterior fusion Feb. 5th, 2008, T4-L1 ... Darrell S. Hanson, M.D. - Baylor Orthopedics, Houston I had my surgery photographed,and will consider sharing on a case by case basis. Email <mailto:texasmarinemom@...> me for details. View my x-ray timeline - Pre-op through Post-op <http://www.box.net/shared/static/5kien12ko4.jpg> Walked the AIDS Walk 2008 Houston 5K @ 33 days post op <http://www.box.net/shared/static/u1g9l3fsos.JPG> ... and haven't regretted surgery for a minute! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 1, 2008 Report Share Posted September 1, 2008 Thank God there is another brace to consider!!! I couldn't remember the name of the brace my daughter wore but it was the Boston Brace. Yes, I would learn everything I could about any other kind of brace over that one. Dereise....... > > > I did some research on line and see information on the spinecore brace > instead of the boston brace. IT sais it allows movement, > > and can actually correct some of the curve. has anyone here tried it? > thank you > > newtodaisy, there's an ever-growing view by doctors that bracing (and > that goes for any type of bracing) is nothing more than a measure to > make the parents feel as if *something* is being done. Currently, a > study is underway at Shriners Houston to examine the results of bracing > vs. no treatment at all. Hopefully it will produce some useful data. > > You don't saw whether you're simply curious or you have a child for whom > bracing has been suggested. Either way, you might find the full text > of the abstract below of some interest. If you are not currently seeing > an ortho, the full-text article can be purchased online. If you are > seeing one, he can probably provide you with a copy. It appeared in the > May 2008 edition of Spine. > > > (direct link to abstract): http://www.ncbi.nlm.nih.gov/pubmed/18496349 > <http://www.ncbi.nlm.nih.gov/pubmed/18496349> > > 1: Spine. 2008 May 20;33(12):1360-5. > > The effect of rigid versus flexible spinal orthosis on the clinical > efficacy and acceptance of the patients with adolescent idiopathic > scoliosis. > > Wong MS, Cheng JC, Lam TP, Ng BK, Sin SW, Lee-Shum SL, Chow DH, Tam SY. > Department of Health Technology and Informatics, The Hong Kong > Polytechnic University, Kowloon, Hong Kong. m.s.wong@... > <mailto:m.s.wong@...> > > STUDY DESIGN: A prospective study on the comparison of the clinical > efficacy and patient's acceptance of the 2 orthotic management methods. > > OBJECTIVE: To compare the treatment effectiveness and patients' > acceptance of the flexible spinal orthosis, SpineCor with that of the > rigid spinal orthosis for the patients with moderate adolescent > idiopathic scoliosis. > > SUMMARY OF BACKGROUND DATA: The patients' acceptance to the rigid spinal > orthoses is always a concern as it could greatly affect the clinical > outcome. SpineCor is a relatively new design for tackling those > inevitable drawbacks found in rigid orthosis. However, there was no > study to compare this design with the conventional method regarding > their treatment efficacy and the patient's acceptance. > > METHODS: Forty-three subjects with moderate adolescent idiopathic > scoliosis were randomly assigned to the SpineCor group (S group, n = 22) > and rigid orthosis group (R group, n = 21). Their survival rate in the > first 45 months of intervention was studied. The subjects' acceptance to > the orthoses was evaluated by a purpose-designed questionnaire, which > was administered in the 3rd, 9th, and 18th months of intervention. > > RESULTS: In the study period, there were 68% of the subjects in the S > group and 95% of the subjects in the R group did not show curve > progression. Significant difference (P = 0.046, by Fisher exact test) in > failure rate between the 2 subject groups was found although the 2 > groups had similar responses to the questionnaire. > > CONCLUSION: The current study showed that the failure rate of the > SpineCor was significantly higher than that of the rigid spinal > orthosis, and the patients' acceptance to the SpineCor was comparable to > the conventional rigid spinal orthosis. > > PMID: 18496349 [PubMed - indexed for MEDLINE] > > > > Regards, > Pam > > 40 yr old female, dx'd JIS & Boston braced @ age 10 > Non-progressing ±53° right thoracic curve (surgery performed to > address pain) ... Post-op curve ±20° > Posterior fusion Feb. 5th, 2008, T4-L1 ... Darrell S. Hanson, M.D. - > Baylor Orthopedics, Houston > > I had my surgery photographed,and will consider sharing on a case by > case basis. Email <mailto:texasmarinemom@...> me for details. > > View my x-ray timeline - Pre-op through Post-op > <http://www.box.net/shared/static/5kien12ko4.jpg> > Walked the AIDS Walk 2008 Houston 5K @ 33 days post op > <http://www.box.net/shared/static/u1g9l3fsos.JPG> ... and haven't > regretted surgery for a minute! > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 15, 2010 Report Share Posted June 15, 2010 Hi , I can only tell you from my experience with the SpineCor brace. Just for some background info. I have severe scoliosis. Had my first surgery when I was 37, a partial removal of hardware at 39 and then total repair/revision surgery anteior/posterior by the age of 40. Have been relatively good since. Before the revision surgery my thoracic curve went to 82 degrees. I am now at 45 degree thoracic and 45 lumbar. I have Dr. Boachie of NYC to thank for my revision surgery, currently the president of the National Scoiliosis Foundation and is world renown for his surgeries. He has been in People magazine and on the Discovery Channel for extreme spinal surgeries. Can't say enough about him and I'm sure many people have heard about him through this venue. My daughter was diagnosed with scoliosis not too long after my revision surgery. I took her right to Dr. Boachie who uses both types of braces. He first decides whether you qualify for the Spinecor Brace. It goes by your ritor score (how developed your bones are when diagnosed). He explained to me that this brace doesn't work for everyone and the doctor and technician must be very qualified to use this. He himself makes adjustments along the way. My daughter did qualify. He was able to get her 21 degree thoracic curve and 13 lumbar down to 13 degrees and 0 degree. She wore it until her bones were matured about 15. She went back periodically to check to make sure she hadn't progressed. After her last x-ray about 2 years ago - he said he didn't need to see her again. I don't know if I would trust any doctor doing this. He was very up front about knowing whether it would work after about 3 to 4 months and then if it wasn't working, he would have put her in a more traditional brace. When she got fitted for the brace it was an extremely long day. It took about 8 hours to do. To get the strapping just right. I think it is one of those things that you would say requires an expertise that you might not be able to just learn - almost like an art. I hope this helps. Kathy Quote Link to comment Share on other sites More sharing options...
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