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  Home  ›  SpineCor   Pediatric Brace  ›  Comparison Studies
 
Comparison Studies
 
 
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.
 
Treatment 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°).
 
Results
 


The results table above shows a dramatic difference in treatment outcomes:

- 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°.
 
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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