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,
and the second one is surgery with a spinal
In both cases,
the therapeutic benefits can unfortunately
be associated with non-negligible drawbacks
that limit their uses. Because of a better
understanding of the risk associated and of
the disease evolution, we have seen a shift
towards earlier treatment.
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,
Perdriolle, William P. Bunnell, Furster, Risser
and many others. This means that the earlier
the scoliosis appears, the greater the risks
of evolution. Lonstein & Carlson 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
and other authors have named the 30° limit "the
critical limit" because, beyond this
point, during high velocity growth periods,
of the disease is guaranteed.
fact that the Cobb angle remained stable
after maturity had been reached was challenged
Duriez, Ponsetti and, in 1980, Guillaumat
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
has been established by Styblo, Lonstein & Winter,
Durand & Salanova 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.
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 .
- Muscles are barely active
and can only be maintained through a heavy
- 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.
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.
- Finally the aesthetical
results are generally poorly acceptable.
In most cases, the adolescent prefers the
cosmetic results following surgery in spite
of the scars.
assume that early treatment can provide a better
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
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°.
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:
- Neuro-muscular stimulation
of SpineCor happened through a scientific
process based on decades of knowledge on
and its treatment. Therefore, we can be optimistic
about its efficiency. To demonstrate and
establish the real efficiency of this treatment
encouraging preliminary results, we are taking
two different approaches. We are comparing
it to the natural evolution of the disease
and to the existing braces. This is exactly
what we have been doing since 1995.