spine cor scoliosis bracing responses
nathan keepers
Description
Collection
Title:
spine cor scoliosis bracing responses
Creator:
nathan keepers
Date:
2/25/2006
Text:
Hello,
My original question is followed by the responses received. Names have been withheld, except the one from the mfg and the one referencing a published article, since I did not ask if I could publish names of respondents.
Nathan Keepers, CPO
Hello,
A doctor has requested information on the Spine Cor bracing system. The one with elastic straps for correction of scoliosis. All I have been able to locate is their company web site.
Have there been any studies done, besides what appear to be their own studies on their website?
Have you had any experience with it?
I am somewhat skeptical of the system, but apparently there is a patient that the doctor has seen who is interested in it due to its low profile.
thanks,
Nathan Keepers, CPO
Nathan,
I published our experience with the spinecor in the JPO a few years back. You can find it at oandp.org and then hit the JPO link. I really liked the concepts of the brace, but I think it failed to accomplish its concepts due to the lack of good end point control. The pelvic section tended to rotate losing the tension on the straps. We did find though that it did succeed in preventing progression.
Keith M. Smith CO LO
First the group that promotes the spine cor brace is chiropracters that
alone gives me pause about the system.
second they also promote electro stim on the web site......proven
ineffective.
Third,thier results are not as good according to thier own info as
boston style.
fourth the target group is the less than 20 degree group of which a
very large percentage correct spontaneously anyway which should
significantly alter they data they post.
I personally have stayed away from this system for those four reasons.
nuff said?
we currently do a posterior opening low profile on the majority of
cases and with coaching from Tom Gavin our average correction rate is
closer to 80 percent than the 50 request by the orthos.
Try out the TriaC brace, Boston brace has more info. on it! It's very
low
profile!
Dear Nathan
As an orthotist with some20 years of experience treating scoliosis with Milwaukee, Boston and various rigid TLSO types of brace, I too was very sceptical when one of my doctors requested SpineCor Bracing for his patients.
After reading the initial publications some 7 years ago, I was not convinced. The concept was so radically different and outside of my area of knowledge I really could not understand how it could possibly work. Despite a very negative initial reaction from me my doctor was not deterred and continued to press me to take the training course in order that he could try the system on his patients. Some six months later I travelled to Montreal to take the SpineCor training. By the second day of the very intensive course the system began to make sense to me, the third day I spent in Prof Rivard’s clinic and saw around 10 patient in treatment all doing exceptionally well and extremely happy with there braces.
On my return to my own hospital I treated my first 5 patients over two days with the help of one of the doctors from Montreal, once left on my own I found it extremely difficult at first to read the x-rays and fit the braces correctly but slowly I got the hang of it. By the end of the year I had treated over 50 patients and was receiving referrals from three other orthopedic surgeons. My scoliosis practice grew and grew, after 18 months I had massed enough experience to start training others how to use the SpineCor System. My relationship with the orthopedic team in Montreal was very good and my belief in the treatment so great that when the opportunity arose I bought in to the company. Five years on now with the largest scale long term clinical trial ever in the history of non-surgical scoliosis treatment showing exceptional long term post treatment results orthopedic Doctors can not really ignore or dismiss SpineCor as some thing new and unproven. Daily now we receive en!
quiries
from doctors wanting more information about SpineCor treatment, in the U.S. alone we receive around 100 patient enquiries a week.
Your experience of patients and or doctors requesting SpineCor is not uncommon.
I would be more than happy to discuss SpineCor treatment with you either by phone or in person if you are attending the Academy meeting in Chicago next week. I shall be speaking on Thursday but will be around the whole week.
If you e-mail me back with some contact details I would be pleased to call or meet up with you.
In answer to your question on studies yes there are many more studies under way and some very positive ones in review right now. Whist I cannot give you written information on the pending studies I can discuss these with you.
Kind Regards
Yours Sincerely
Andrew J Mills CO
Managing Director
The SpineCorporation Limited
Tel +44 1246 455381
Fax +44 1246 261692
Cell +44 7778 378633
E-mail <Email Address Redacted>
Hi Nathan,
I'd like to give you a word of warning regarding the SpineCor
system. I used to work at CD Denison in Maryland and we worked
closely with Johns Hopkins (the providers listed on SpineCor
website). When I started working there, they were able to get
components (a kit of sorts with the different length straps used)
from Canada. That was enough of a headache. Then the Canadian
distributor stopped distributing SpineCor. CD Denison then had to
order from SPAIN. There was a lot of waiting (shipping) and a lot of
miscommunication (with language barrier). By the time I left CD
Denison's, they tried to avoid the system unless absolutely
necessary. There were improvements seen. There is, however, an
investment of computer equipment along with a digital type
measurement device.
You may call xxxxxxxx, CO at the CD Denison location and ask
to speak with her about it. She'd be happy to talk to you, just
don't give up if you don't get to speak to her right away. It's a
busy office and she often attending clinics.
My name is xxxxxxxxxx and I do a lot of scoli bracing in Portland. Spine Core is a system that appeared on the scene about 5-6 years ago out of Montreal. The results of the system cannot be substantiated, and their subjects were braced at a very low degree of curve (under 20 degrees), which is not even bracable.
I'd be happy to talk to you about it, but I think it would be a big mistake to use this system for any kind of scoliosis rx. Give me a call .
I spoke with the SpineCor folks about five years ago about using their
system. Assuming the system hasn't changed, the patient couldn't be
more
than a Risser 1 (or 2 at the latest) when they began treatment. This
pretty
much knocks out about 90 percent of the kids I see in our clinic. There
is
an incredible amount of follow-up, from your end, as well as a
considerable
amount of time spent in preparation for fitting, including creating a
computer model of the brace to verify pad placement.
Having said all that, the brace may (or may not) have potential. The
early
Risser sign is a hang up for me, as, again, most of my patients don't
even
find out they have scoliosis until they are a Risser 3.
Finally, I found it cost prohibitive. They wanted me to put $10,000.00
down
for training and my initial pad and strap setup.
Some or all of the above may have changed in the time since.
This is from Feb 06 Biomechanics:
27 The number of idiopathic scoliosis patients in a prospective study of curve progression using a soft brace (SpineCor) versus a Cheneau-derived TLSO during a pubertal growth spurt. The German researchers developed a controlled study to compare the brace types. All patients were premenarchal girls. The Cobb angle of 11 of 12 of the soft brace subjects progressed at least 5 degrees over 21.5 months, though when they were switched to the Cheneau brace progression stopped in seven of 10. The 15 control-group subjects in the Cheneau brace showed an average curve progression of 0.2 degrees over 37 months.
The Scoliosis Research Society (SRS) has not published any definitive
statement regarding the efficacy of the SpineCor system. I know of no
Orthotist in the US treating patients with this system. The SRS did
accept one abstract regarding the SpineCor Adolescent Idiopathic
Scoliosis treatment system. I've attached the PDF. Please keep in
mind the existence and acceptance of this abstract by the SRS is not
in any way an endorsement of any kind, i.e., SpineCor has not been
scientifically shown to alter the natural history of Adolescent
Idiopathic Scoliosis; you should therefore remain skeptical.
---------------------------------
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Use Photomail to share photos without annoying attachments.
My original question is followed by the responses received. Names have been withheld, except the one from the mfg and the one referencing a published article, since I did not ask if I could publish names of respondents.
Nathan Keepers, CPO
Hello,
A doctor has requested information on the Spine Cor bracing system. The one with elastic straps for correction of scoliosis. All I have been able to locate is their company web site.
Have there been any studies done, besides what appear to be their own studies on their website?
Have you had any experience with it?
I am somewhat skeptical of the system, but apparently there is a patient that the doctor has seen who is interested in it due to its low profile.
thanks,
Nathan Keepers, CPO
Nathan,
I published our experience with the spinecor in the JPO a few years back. You can find it at oandp.org and then hit the JPO link. I really liked the concepts of the brace, but I think it failed to accomplish its concepts due to the lack of good end point control. The pelvic section tended to rotate losing the tension on the straps. We did find though that it did succeed in preventing progression.
Keith M. Smith CO LO
First the group that promotes the spine cor brace is chiropracters that
alone gives me pause about the system.
second they also promote electro stim on the web site......proven
ineffective.
Third,thier results are not as good according to thier own info as
boston style.
fourth the target group is the less than 20 degree group of which a
very large percentage correct spontaneously anyway which should
significantly alter they data they post.
I personally have stayed away from this system for those four reasons.
nuff said?
we currently do a posterior opening low profile on the majority of
cases and with coaching from Tom Gavin our average correction rate is
closer to 80 percent than the 50 request by the orthos.
Try out the TriaC brace, Boston brace has more info. on it! It's very
low
profile!
Dear Nathan
As an orthotist with some20 years of experience treating scoliosis with Milwaukee, Boston and various rigid TLSO types of brace, I too was very sceptical when one of my doctors requested SpineCor Bracing for his patients.
After reading the initial publications some 7 years ago, I was not convinced. The concept was so radically different and outside of my area of knowledge I really could not understand how it could possibly work. Despite a very negative initial reaction from me my doctor was not deterred and continued to press me to take the training course in order that he could try the system on his patients. Some six months later I travelled to Montreal to take the SpineCor training. By the second day of the very intensive course the system began to make sense to me, the third day I spent in Prof Rivard’s clinic and saw around 10 patient in treatment all doing exceptionally well and extremely happy with there braces.
On my return to my own hospital I treated my first 5 patients over two days with the help of one of the doctors from Montreal, once left on my own I found it extremely difficult at first to read the x-rays and fit the braces correctly but slowly I got the hang of it. By the end of the year I had treated over 50 patients and was receiving referrals from three other orthopedic surgeons. My scoliosis practice grew and grew, after 18 months I had massed enough experience to start training others how to use the SpineCor System. My relationship with the orthopedic team in Montreal was very good and my belief in the treatment so great that when the opportunity arose I bought in to the company. Five years on now with the largest scale long term clinical trial ever in the history of non-surgical scoliosis treatment showing exceptional long term post treatment results orthopedic Doctors can not really ignore or dismiss SpineCor as some thing new and unproven. Daily now we receive en!
quiries
from doctors wanting more information about SpineCor treatment, in the U.S. alone we receive around 100 patient enquiries a week.
Your experience of patients and or doctors requesting SpineCor is not uncommon.
I would be more than happy to discuss SpineCor treatment with you either by phone or in person if you are attending the Academy meeting in Chicago next week. I shall be speaking on Thursday but will be around the whole week.
If you e-mail me back with some contact details I would be pleased to call or meet up with you.
In answer to your question on studies yes there are many more studies under way and some very positive ones in review right now. Whist I cannot give you written information on the pending studies I can discuss these with you.
Kind Regards
Yours Sincerely
Andrew J Mills CO
Managing Director
The SpineCorporation Limited
Tel +44 1246 455381
Fax +44 1246 261692
Cell +44 7778 378633
E-mail <Email Address Redacted>
Hi Nathan,
I'd like to give you a word of warning regarding the SpineCor
system. I used to work at CD Denison in Maryland and we worked
closely with Johns Hopkins (the providers listed on SpineCor
website). When I started working there, they were able to get
components (a kit of sorts with the different length straps used)
from Canada. That was enough of a headache. Then the Canadian
distributor stopped distributing SpineCor. CD Denison then had to
order from SPAIN. There was a lot of waiting (shipping) and a lot of
miscommunication (with language barrier). By the time I left CD
Denison's, they tried to avoid the system unless absolutely
necessary. There were improvements seen. There is, however, an
investment of computer equipment along with a digital type
measurement device.
You may call xxxxxxxx, CO at the CD Denison location and ask
to speak with her about it. She'd be happy to talk to you, just
don't give up if you don't get to speak to her right away. It's a
busy office and she often attending clinics.
My name is xxxxxxxxxx and I do a lot of scoli bracing in Portland. Spine Core is a system that appeared on the scene about 5-6 years ago out of Montreal. The results of the system cannot be substantiated, and their subjects were braced at a very low degree of curve (under 20 degrees), which is not even bracable.
I'd be happy to talk to you about it, but I think it would be a big mistake to use this system for any kind of scoliosis rx. Give me a call .
I spoke with the SpineCor folks about five years ago about using their
system. Assuming the system hasn't changed, the patient couldn't be
more
than a Risser 1 (or 2 at the latest) when they began treatment. This
pretty
much knocks out about 90 percent of the kids I see in our clinic. There
is
an incredible amount of follow-up, from your end, as well as a
considerable
amount of time spent in preparation for fitting, including creating a
computer model of the brace to verify pad placement.
Having said all that, the brace may (or may not) have potential. The
early
Risser sign is a hang up for me, as, again, most of my patients don't
even
find out they have scoliosis until they are a Risser 3.
Finally, I found it cost prohibitive. They wanted me to put $10,000.00
down
for training and my initial pad and strap setup.
Some or all of the above may have changed in the time since.
This is from Feb 06 Biomechanics:
27 The number of idiopathic scoliosis patients in a prospective study of curve progression using a soft brace (SpineCor) versus a Cheneau-derived TLSO during a pubertal growth spurt. The German researchers developed a controlled study to compare the brace types. All patients were premenarchal girls. The Cobb angle of 11 of 12 of the soft brace subjects progressed at least 5 degrees over 21.5 months, though when they were switched to the Cheneau brace progression stopped in seven of 10. The 15 control-group subjects in the Cheneau brace showed an average curve progression of 0.2 degrees over 37 months.
The Scoliosis Research Society (SRS) has not published any definitive
statement regarding the efficacy of the SpineCor system. I know of no
Orthotist in the US treating patients with this system. The SRS did
accept one abstract regarding the SpineCor Adolescent Idiopathic
Scoliosis treatment system. I've attached the PDF. Please keep in
mind the existence and acceptance of this abstract by the SRS is not
in any way an endorsement of any kind, i.e., SpineCor has not been
scientifically shown to alter the natural history of Adolescent
Idiopathic Scoliosis; you should therefore remain skeptical.
---------------------------------
Yahoo! Mail
Use Photomail to share photos without annoying attachments.
Citation
nathan keepers, “spine cor scoliosis bracing responses,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 4, 2024, https://library.drfop.org/items/show/226257.
