This article is part of the supplement: 4th International Conference on Conservative Management of Spinal Deformities .

Oral presentation

Positive outcome in obese patients with adolescent idiopathic scoliosis treated with the SpineCor Brace

Valerie Vachon¹, Alin Circo^1,2, Christine Coillard^1,2 and Charles H Rivard^1,2

¹  Research Center, Sainte-Justine Hospital, 3175 Côte Ste-Catherine, Montréal, Québec, Canada, H3T 1C5

²  University of Montreal, Montreal, Canada

author email corresponding author email

from 4th International Conference on Conservative Management of Spinal Deformities
Boston, MA, USA. 13–16 May 2007

Scoliosis 2007, 2(Suppl 1):S22doi:10.1186/1748-7161-2-S1-S22

The electronic version of this abstract is the complete one and can be found online at: http://www.scoliosisjournal.com/content/2/S1/S22

Published:

12 October 2007

© 2007 Vachon et al; licensee BioMed Central Ltd.

Objective

To compare outcomes of SpineCor brace treatment [1] in AIS patients who were obese with the outcome in patients of normal weight.

Study design

From December 1994, 503 patients were treated using the SpineCor brace. One hundred eighty patients have a definitive outcome. The cohort of patients was divided into two groups according to body habitus. Obese patients were defined as those with a body mass index in the 85^th percentile or greater [2]. Assessment of brace effectiveness included 1) number of patients whose curves progressed by ≤5 degrees; 2) number of patients whose curves progressed by ≥6 degrees; 3) number of patients with curves exceeding forty-five degrees at the end of treatment; and 4) number of patients who have been recommended/undergone surgery before skeletal maturity.

Results

The results demonstrate that AIS patients who are obese as well as patients of normal weight, treated by the SpineCor brace, have a positive outcome (62% and 66% of success respectively). This is not the case for overweight AIS patients following orthotic treatment using the three point pressure principle [3].

Conclusion

The results suggested that the use of a dynamic brace to improve scoliotic deformations through a new concept and treatment approach re-establishes spinal function, while preserving body movement and growth without being interfered by body habitus.

References

1. Coillard C, Leroux MA, Badeaux J, Rivard CH: SPINECOR: a new therapeutic approach for idiopathic scoliosis.

   Stud Health Technol Inform 2002 , 88:215-217. PubMed Abstract

2. Dehghan M, Akhtar-Danesh N, Merchant AT: Childhood obesity, prevalence and prevention.

   Nutrition Journal 2005 , 4:24. PubMed Abstract | BioMed Central Full Text | PubMed Central Full Text

3. O'Neill PJ, Karol LA, Shindle MK, Elerson EE, BrintzenhofeSzoc KM, Katz DE, Farmer KW, Sponseller PD: Decreased orthotic effectiveness in overweight patients with AIS.

   Bone Jt Surg 2005 , 87A:1069-1074. Publisher Full Text

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