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Home > SpineCor > Pediatric
Scoliosis Brace > Comparison Studies |
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Comparison
Studies |
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Background
In 2006 the Scoliosis Research Society (SRS) published guidelines
for all future studies of Idiopathic Scoliosis treatments. The strict
inclusion
and exclusion criteria allowed study of only the highest progression
risk group of patients. Together with standardised outcome measures,
the SRS guidelines make possible for the first time ever comparison
of treatment methods. Since only the highest progression risk patients
are studied, outcomes for all brace treatments are not as favourable
as generally believed. However, the first study in 2007 published
in the Journal of Pediatric Orthopedics shows a very clear difference
in outcome for three different treatment methods.
TREATMENTs STUDIED
SpineCor - a flexible dynamic brace developed in 1992
TLSO - (generic term for Boston type) rigid plastic spinal braces
extensively used around the world for over 30 years.
Providence - a relatively new night-time-only rigid plastic brace
used by a small number of clinics in the United States.
* Patients included in theses studies range from 20° to
50° and Risser 0-3, or pre-menarche. Therapeutic success
is defined according to the SRS definitions as either improvement
(Cobb reduction of 6° or greater) and stabilisation (Cobb
increase of up to 5°).
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The results table above shows a
dramatic difference in treatment outcomes:
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15% success (by SRS
definitions) with the most commonly used TLSO versus
59% with the SpineCor dynamic corrective brace. This made SpineCor
4 times more effective than TLSO in stopping progression
of the curve.
- SpineCor is 76.5% effective in avoiding surgery, Providence
is 40% effective and TLSO is 21% effective.
- Compared to TLSO group of 56%, only 1% of the SpineCor group
progress more than 45°. |
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REFERENCES
1. Janicki J A, Poe-Kochert C,
Armstrong DG, Thompson GH. A comparison of the Thoracolumnosacral
Orthosis and Providence Orthosis in the Treatment of Adolescent
Idiopathic Scoliosis: Results using the New SRS Inclusion and
Assessment Criteria for Bracing Studies. J Pediatr Orthop, 2007
Jun; 27(4):369-374
2. Coillard C, Vachon V, Circo AB, Beausejour M, Rivard CH. Effectiveness
of the SpineCor Brace Based on the New Standardised Criteria
Proposed by the Scoliosis Research Society for Adolescent Idiopathic
Scoliosis. J Pediatr Orthop. 2007 Jun; 27(4):375-379
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