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Sunday, April 19th 2009

12:03 AM

First Component of Spinecor

The first component consists of the pelvic base, the crotch bands and the thigh bands. Its role is to act as an anchoring point and support for the actions applied to the patient’s trunk by the elastic bands.  When the pelvic base is stable, the traction by the elastic bands is provided along the stable lines.  The flexible nature of the pelvic section of the brace permits free movements of the trunk and engagement of the pelvis in the corrective movement.


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Sunday, April 19th 2009

12:02 AM

the concept of spinecor brace

Scoliosis is more than a 3D deformation of the spine. It also involves postural disorganization, neuro-musculoskeletal dysfunction and unsynchronized growth patterns all evolving with time. Using these four defining criteria, we can adopt a more specific approach to the static and dynamic properties of scoliosis that evolve over a period of time. Scoliosis is a four-dimensional deformation! Even though the etiology of scoliosis remains unknown in 80% of cases, technological progress and the creation of multi-disciplinary teams mean that, in addition to the spinal deformation, a child's or adolescent's morphological and postural abnormalities can be recognized, together with their dysfunction, growth and maturation problems. The therapeutic concept of the SpineCor System is closely related to the etiopathogenic concept. In keeping with this therapeutic concept, the design of this Dynamic Corrective Brace incorporates various independent, yet related, components.

It provides dynamic control of the shoulders and pelvic girdles and thorax, controls movement, and modifies the three-dimensional postural geometry. This allows us to correct the three-dimensional deformation while harmonizing the function and maintaining it over time. More harmonious growth patterns can thus be achieved. The SpineCor Dynamic Corrective Brace is prescribed by orthopaedists, who also monitor the treatment. It is suitable for all pre-adolescent or skeletally immature adolescents with early progressive idiopathic scoliosis, or in cases where the risk of progression is considered high. Early idiopathic scoliosis treatment will increase the chance of total correction and, therefore, reduce the bracing period. It can also be used as other braces with patients showing scoliosis with a Cobb angle between 31º and 50º with the objective of stabilization of the curve.


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Sunday, April 19th 2009

12:01 AM

Treatment Approach with spinecor

Scoliosis is a deformation of the spine which affects more than 5,7 million children around the world. Although to date there is no consensus on the etiology of Idiopathic Scoliosis, which accounts for 80% of cases, enough is known to allow better non-surgical treatments today.

Using modern knowledge along with that of years gone by, and safe, up-to-date technology, a multi-disciplinary team from Hôpital Sainte-Justine in Montreal has been addressing this problem. The team is led by Dr. Charles Hilaire Rivard, who is a paediatric orthopaedic surgeon, professor, and head of the Department of Surgery at the Université de Montréal. He, and Dr. Christine Coillard, a paediatric orthopaedic surgeon and Clinical Assistant Professor in the Department of Surgery at the Université de Montréal, have dedicated the last 12 years to the improvement of a non-rigid brace. Working in conjunction with The SpineCorporation to supply this unique brace world-wide, the team has developed a new, innovative treatment for scoliotic patients: the SpineCor System.


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Saturday, April 18th 2009

11:59 PM

General Information

Still, today, 80% of the scoliosis cases are known as idiopathic. Since the true cause is unknown, the treatment can only be based on the symptoms. Until now, only two types of treatment have been known to be efficient: the first is the treatment using an orthopaedic rigid brace [2-4-7-8-19-21-22-23-31-32-33-35-36-42-46], and the second one is surgery with a spinal system.

In both cases, the therapeutic benefits can unfortunately be associated with non-negligible drawbacks that limit their uses [1-3-5-10-28-29]. Because of a better understanding of the risk associated and of the disease evolution, we have seen a shift towards earlier treatment.

The correlation between growth potential of the child, and, more specifically, of the adolescent, and the evolution of the scoliosis has been clearly established. It was demonstrated by Duval-Beaupère [13-14-15-16-17], Perdriolle [37], William P. Bunnell , Furster [24], Risser [40] and many others [inc. 34]. This means that the earlier the scoliosis appears, the greater the risks of evolution. Lonstein & Carlson [30] analysed the natural evolution of scoliosis in a population of 729 adolescents. They concluded that a child with an angle between 20° and 29° and a Risser of 0,1 or 2, will see his/her scoliosis evolve in 68% of the cases. Stagnara and Clarisse [9-44] and other authors [4-11-26-30-31] have named the 30° limit "the critical limit" because, beyond this point, during high velocity growth periods, evolution of the disease is guaranteed.

Finally, the fact that the Cobb angle remained stable after maturity had been reached was challenged by Duriez [12], Ponsetti [38] and, in 1980, Guillaumat [26] shed some light on this: scoliosis with greater risk of evolution are the lumbar and thoraco-lumbar that have reached 30° or more at bone maturity. The thoracic and double scoliosis will evolve only if they have reached 60° at maturity. It does not mean that they are well accepted below 60°, especially from a cosmetic and sociological point of view. With this, it seems illogical to pretend that any 30° curve will remain stable after bone maturity is reached.

It has been established by Styblo [45], Lonstein & Winter [31], Durand & Salanova [11] that we can get much better results while treating small curves between 20° and 29°, compared with curves of 30° to 39°. A growing number of physicians have started treating scoliosis with an angle below 30º, hoping to get better results but also to break the evolution of the disease before it gets over 30º and becomes much more difficult to treat.

Despite some effectiveness, currently available braces, because of their rigidity, are damaging to a certain degree to the normal development of the neuro-musculo-skeletal system .

  • Bone structures, especially the rib cage, have to stand significant mechanical constraints that can affect the harmonious growth process leading to some malformation and atrophy of mobile structures.
  • Muscles are barely active and can only be maintained through a heavy physiotherapeutic treatment.
  • Because of the pseudo-atrophy of the spine's muscular system, it is not possible to guarantee that the correction obtained by the brace will be permanent.
  • Finally the aesthetical results are generally poorly acceptable. In most cases, the adolescent prefers the cosmetic results following surgery in spite of the scars.

At the time period when orthopaedic treatment would have the best efficiency (i.e.idiopathic scoliosis of less then 30° for pre-adolescents), the drawbacks are major considering the consequences on an immature, evolving body. It is important to note that the existing brace's main objective is to stop the disease's progression. There are two reasons for this: first, there is no efficient corrective treatment that exists to this date; and second, it becomes more and more obvious today that it is extremely difficult to get a real correction, even partial, for a deformation beyond 30° since permanent vertebral deformations appear.

We can assume that early treatment can provide a better correction in a brace and that we can hope that this correction will be permanent. We believe that if one has efficient means to correct with none or limited drawbacks, the assumption of a true permanent correction would justify earlier therapeutic treatment with a minimum risk of over treating. The expected benefits justify a more aggressive therapeutic approach for curves smaller then 30°.

It is obvious to us that this means must be a dynamic one as we now better understand the relationship between the neurological, muscular and skeletal systems. It is also clear that not only must we not harm the neurological and muscular systems, but we need to use them to stabilize the spinal system. The spine curvature correction goal must not interfere with the goal of maintaining structural mobility and neuro-muscular control of the posture and movements.

In order to have better results in idiopathic scoliosis, early treatment while reducing or eliminating any drawbacks as well as using the neuro-muscular corrective potential, we have developed a new therapeutic tool based on an innovative approach. SpineCor the Dynamic Corrective Brace is the first and non-rigid brace which aimed at correcting scoliotic deformation through self-maintained correction of the neuro-musculo-skeletal system. SpineCor full potential is achieved with skeletally immature pre-adolescents with progressive idiopathic scoliosis of less than 30°.

SpineCor changes the dynamic of the trunk while harmonizing the posture. It is a therapeutic means with less mechanical constraints and an acceptable comfort level that preserves and enhances movements with a double therapeutic action:

  • Progressive correction of the spine deformation up to the limit imposed by the pre-existing bone deformation.
  • Neuro-muscular stimulation and correction.

The design of SpineCor happened through a scientific process based on decades of knowledge on scoliosis and its treatment. Therefore, we can be optimistic about its efficiency. To demonstrate and establish the real efficiency of this treatment about encouraging preliminary results, we can take two different approaches. We can compare it to the natural evolution of the disease or compare it to the existing braces. This is exactly what we have been doing since 1995.


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