Therapeutic Approach

clear

Treatment Approach

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.

THE CONCEPT

Scoliosis is not only a deformation of the spinal column, it is also a disease of the neuro-musculo-skeletal system. If it progresses, it can have serious consequences for the patient. This complex system’s unstable balance during growth may, perhaps, be governed by the theory of chaos.

IDIOPATHIC SCOLIOSIS
TREATMENT
Growth
 Dysfunction MINIMIZE disharmony
Postural REDUCE Spinal
disorganization deformation
SCOLIOSIS
STABILIZE REDUCE

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.