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What is SpineCor?

SpineCor treatment is the leading dynamic bracing solution for managing scoliosis and hyperkyphosis in children and adults.

Centered around the use of a customised spinal brace, with exercises when required, SpineCor treatment keeps the body moving whilst intelligently managing the spinal position in a curved spine.

How Does a SpineCor Brace Work?

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SpineCor Braces are customised to the needs of each patient. The lower part of the brace acts as an anchor for the upper corrective part of the brace, whose bands wrap around the body to control the position of the spine. The corrective bands push, pull or twist the trunk in order to off-load or improve the position of the spine. 

The family of SpineCor Braces pictured below all share the same basic design characteristics of an upper corrective part and a lower pelvic anchor part. Each SpineCor Brace offers different design features. Your local SpineCor Brace Provider will be able to advise you on the most appropriate version for you. 

SPINECOR

Benefits

A flexible, long-term solution

SpineCor Treatment can successfully treat many different curve types, from small curves to larger and multiple curves.

Unlike some other treatments, SpineCor treatment maintains the stability of the curve and muscle strength. This leads to better long term results.

Tailored to your needs

SpineCor Treatment is uniquely custom-fitted to your specific needs.

Regular reviews throughout the treatment process allow for adjustments to be made to the brace, helping to achieve the best results for you.

Specific exercises tailored to your needs.

Live life as normal

Each SpineCor brace is easy to put on and take off.

Worn comfortably under clothing, it is fully flexible, allowing you to carry on with your daily life, including sporting activities.

Its discreet nature means the brace in undetectable under normal clothing, making it more appealing to patients, helping to achieve better results.

Cutting-edge technology

SpineCor technology has been specifically developed to support treatment providers, giving you peace of mind throughout the treatment process.

Investment has been made in making physical therapy exercises easily accessible online, if these are required during treatment.

 

Who is it for?

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Scoliosis

Different Curve Directions

For people with scoliosis or hyperkyphosis

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Hyperkyphosis

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Small Curves

Different Sized Curves

For people with small or large curves

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Large Curves

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Single Curve Pattern

Different Curve Patterns

For people with single, double or triple curve patterns.

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Triple Curve Pattern

 

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Children

Different Ages

For children and adults, young and old

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Adults

 

SPINECOR

Treatment

How does treatment work?

SpineCor Treatment is for Children and Adults with Scoliosis or Hyperkyphosis. SpineCor Treatment uses a spinal brace called a ‘SpineCor Brace’ and exercises when required. Exercises can also be used independently of the SpineCor Brace with those patients who have very small curves. 

Patients receiving SpineCor Treatment will have their curves classified according to a sophisticated computer system called SAS-WEB and reviewed at regular intervals for brace adjustments or exercise progression according to a specific treatment protocol.

 
 
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Treatment for children

SpineCor Treatment will slow down or stop the progression of a child’s scoliosis during the remainder of growth. It may even reduce the size of the curve.

SpineCor Treatment is appropriate for children from 5 years old with Idiopathic Scoliosis from 20 – 40 degrees.

It can also be used for Idiopathic curves from 15 – 20 degrees and 40 – 50 degrees and above, and non-Idiopathic curves in some situations. Exercises alone can be administered for very small curves.

SpineCor Treatment can be used for children with Hyperkyphosis above 60 degrees.


Treatment for Adults

SpineCor Treatment may reduce pain associated with adult scoliosis and Hyperkyphosis.

SpineCor Treatment is appropriate for adults of all ages with Idiopathic or Degenerative Scoliosis greater than 20 degrees. Exercises alone can be administered for very small curves.

SpineCor Treatment can be used for adults with Hyperkyphosis above 60 degrees.

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Case Study

Before Treatment

This case study follows the treatment of a female patient with adolescent idiopathic scoliosis using SpineCor brace. Before treatment, the patient presented a 36º right thoracic curve. She was 9.5 year old with a skeletal maturity of Risser 0 when the treatment began.

Clinical Aspect before treatment  Age: 9.5yo, Cobb angle: 36º

Clinical Aspect before treatment

Age: 9.5yo, Cobb angle: 36º

Radiological aspect before treatment  Age: 9.5yo, Cobb angle: 36º

Radiological aspect before treatment

Age: 9.5yo, Cobb angle: 36º

Evaluation

After evaluation of the patient's radiological. clinical and postural data, she was classified as a Right Thoracic Type 1 according to the SpineCor classification system. Each SpineCor classification has a specific corrective movement strategy for progressive curve reduction. In the case of Right Thoracic Type I, the corrective movement was counter clockwise rotation of the thorax and clockwise rotation of the shoulder girdle. After application of the corrective movement, the aligned spine was then held in position by the elastic SpineCor brace.

Corrective Movement Right Thoracic Type 1

Corrective Movement
Right Thoracic Type 1

SpineCor Brace set-up for Right Thoracic Type 1

SpineCor Brace set-up for
Right Thoracic Type 1

Treatment Review

After evaluation of the patient's radiological. clinical and postural data, she was classified as a Right Thoracic Type 1 according to the SpineCor classification. Each classification has a specific corrective movement strategy for progressive curve reduction. In the case of Right Thoracic Type I, the corrective movement was counter clockwise rotation of the thorax and clockwise rotation of the shoulder girdle. After application of the corrective movement, the aligned spine was then held in position by the elastic SpineCor brace.

~ Start  Cobb angle was reduced from 36º to 21º

~ Start

Cobb angle was reduced from 36º to 21º

~ 1 month,  Cobb angle was reduced to 16

~ 1 month,

Cobb angle was reduced to 16

~ 6 months  Cobb angle was further reduced to 4º

~ 6 months

Cobb angle was further reduced to 4º

~ 13 months  A straight spine was achieved

~ 13 months

A straight spine was achieved

After Treatment

Patient was weaned off brace after 15 months of treatment. Her postural correction and Cobb angle reduction was maintained three years post bracing.

~ 15 months  Clinical aspect without brace in place

~ 15 months

Clinical aspect without brace in place

Radiological aspect after 15-month,without brace in place - Cobb angle 2º

Radiological aspect after 15-month,without brace in place - Cobb angle 2º

 Worldwide Results

89% Success Rate in Curve Correction or Stabilisation

765 patients were treated with SpineCor brace worldwide at the time of result update in April 2002.

The outcome of treatment, including both patients who were undergoing and who had completed treatment, was presented as "Improved", "Stabilised" and "Worsened". A change in the Cobb angle at the end of treatment and/or the last visit in comparison with the initial visit was used to identify a correction (decrease of more than 5° in Cobb angle), a stabilisation (change of ±5°), or aggravation (increase of more than 5°).

"Improved" or "stabilised" curve are viewed as positive outcome. Figure 1 below demonstrates an improvement or stabilisation rate of 89% for patients treated by SpineCor brace

Figure 1 : Outcome of patients treated by SpineCor brace worldwide

Figure 1 : Outcome of patients treated by SpineCor brace worldwide


Positive Results Reproduced at Different Centres

Figure 2 below shows the results for patients treated at two different SpineCor centres (Gerona, Spain and Budapest, Hungary). A Cobb angle improvement or stabilisation in 87% of the cases was achieved independently at both centres. These results closely mirrored the worldwide results.

Figure 2 : Outcome of patients treated at the SpineCor centre in Gerona, Spain and Budapest, Hungary (February 2005). Results of the 2 centres are similar.

Figure 2 : Outcome of patients treated at the SpineCor centre in Gerona, Spain and Budapest, Hungary (February 2005). Results of the 2 centres are similar.

Costs

How much does SpineCor treatment cost?

Individual treatment providers may charge differently for SpineCor treatment. To prevent excessive pricing, the maximum recommended retail price is published as $3,000 (€2,000 £1,800 Rp30mil) which is for initial brace assessment, fitting and first follow-up.

This figure does not include, the prescribing/referring doctor’s fees, x-rays, insoles, further follow-up/brace adjustment visits, replacement brace parts or any additional therapies (e.g. physical therapy or chiropractic care). 

 

Interested? 

Contact us at Tel: 62501566 or email us at enquiry@orthogait.com.sg to fix an appointment for free consultation today and we'll give you options to choose from. Your SpineCor brace will be done in 2 hour and you'll be good to go!

FAQ

+ How does SpineCor compare to other braces?

SpineCor is a dynamic non-rigid brace, meaning it is flexible and soft. This important feature leads to numerous benefits:

Preserves body movement and promotes corrective growth whilst continuing normal activities of daily living; Can be discreetly worn beneath patient's clothing for optimum self-image Increases patient's acceptance for the treatment leading to optimal results Over long-term offers a cost-effective solution to patient Proven stability of treatment results after bracing discontinued, quite unlike rigid bracing Clinical observation shows significant postural improvements No side effects (muscular atrophy).

+ Is physical therapy beneficial?

There is at this point in time no evidence to prove scientifically that physical therapy provided in conjunction with SpineCor provides any additional benefit, however, we do advise its use in certain cases. Physical therapy does have the potential to; Help mobilize the spine Reinforce the corrective movement Help with active self correction Help consolidate the corrective movement and gain a neuromuscular integration (stabilizing the curve) Speed up correction

All published data on SpineCor relates to treatment using the brace alone 20 hours out of 24 following our published treatment protocols. Whilst we cannot say variations to this protocol may not be positive we have no evidence to support such variations at this time.

+ Does treatment have a high success rate?

SpineCor treatment like any other scoliosis treatment is not 100% effective even in ideal circumstances treatment will not be effective in 10 – 20% of cases. If you are be at the highest risk of progression then your curve may still progress despite everyone's best efforts. Some patients may have or perceive sub-optimal treatment for one or more of the following reasons: Failure to establish realistic expectations at the start of treatment. Failure to follow the SpineCor Protocols Complex atypical such as Poor follow-up, Poor compliance, Poor physiological handling, Loss of confidence in the treatment.

It is important to understand that in most cases, treatment failures are attributable to the nature of idiopathic scoliosis itself and not the doctor, orthotist, patient or parent failing in some way. The broad range of severity and age of onset in idiopathic scoliosis put some patients at such high risk of progression that therapeutic success is not always possible by conservative non-surgical means.

Studies of different patient populations will show different results: the broader range of patients included in the earliest studies show a success rate of 89% in correcting or preventing progression. This group had more patients treated early (the optimal time for treatment success) and possibly some lower risk patients. The latest Scoliosis Research Society (SRS) defined study criteria (including only the highest progression risk patients and excluding early treatment cases less than 25 degrees) show a lower success rate of 60% in correcting or preventing progression, however, this compares to a 15% success rate for Boston type TLSO. Surgery rates in the SRS studies are 4 times less with SpineCor than Boston type TLSO braces.

+ What is Vestibular testing andor how does it affect treatment?

Vestibular testing is claimed to be useful in the evaluation of balance and central nervous system dysfunction. Because all scoliosis patients have some degree of abnormal posture and the vestibular system plays a part in the control of posture, vestibular tests on scoliosis patients always show abnormality. This abnormal vestibular function always improves naturally with use of the SpineCor brace as the patients posture improves. There is no evidence to suggest that specific vestibular rehabilitation exercises play any useful role. The SpineCorporation do not advise vestibular testing or rehabilitation exercises.

+ Is chiropractic treatment helpful in conjunction with SpineCor treatment?

We have no data to support the use of any specific Chiropractic care in conjunction with SpineCor treatment; however techniques which may mobilize hypo-mobile areas of the spine could be helpful.

+ Can the patient put on the brace on their own?

To begin with, patients do not need a prescription from a paediatric orthopaedic surgeon in order to obtain approval for treatment. Most of the time, patients can approach a Spinecor practitioner to get the SpineCor brace fitted. Information is then provided to both the patient and his/her family on the use of SpineCor. It is easy for the patient to put it back on once it has been set-up and the bands numbered for fastening sequence and positions. Usually, patients can put on the brace himself/herself within 1-2 minutes.

The daily recommended use in brace depends on the pathology of the patient, his/her age, progression rate and severity of the scoliosis. In general, it is recommended to wear SpineCor 20 hours per day for paediatric age below 18 year-old, 6-8 hours per day for adult.

+ How do I wash the brace?

The maintenance of the brace is explained extensively to patients and their families from the moment that it is first applied. In addition, a maintenance guide explaining the washing and drying process of the brace is also provided to the patients when it is purchased.

+ Can the brace be used on an adult to reduce back pain?

Theoretically pain reduction in adults is possible, early treatment results do seem to support the hypothesis.

+ How long to make a SpineCor brace?

SpineCor brace can be done within 2-3 hours. The brace fitted directly on the patient's body to get maximum control and correction of the scoliosis. After this, patient can go home immediately with the brace without having to wait further months to wear the brace full time.

+ What is the procedure to get SpineCor brace fitted?

1) Pre-consultation We strongly believe that every patient must visit to have a consultation with us to understand more about SpineCor brace before deciding to proceed with the fitting. Afterall, the success of the SpineCor treatment relied very much on the patient's willingness to wear the brace full time and determination to avoid surgery.

2) X-ray films Latest x-ray of the front and lateral full spine (that is that is not done more than 1 month for paediatric patients. For adult, the time period of the x-ray preferably is not more than 1 year ago.

3) Clinical and Radiological evaluation During the fitting, there will be clinical evaluation of the patient's spine and evaluation of the x-ray result before classification of the scoliosis type.

4) Follow-up visits Spinecor patients require minimum 4-5 visits per year to see us for brace adjustments. Each visit will take about an hour to complete.

+ Can my scoliosis worsen from neglecting to wear the Spinecor brace?

All scoliosis brace must be worn until full bone maturity. However, we do recommend to continue to wear the Spinecor brace for another year to confirm scoliosis stability and also the alignment of the scoliosis spine before take off the brace regime. Spinecor brace has great clinical 5 year post-brace result in keeping scoliosis spine from worsening without brace. Reference

+ Can the scoliosis be straightened after treatment with SpineCor brace?

No brace or treatments or surgery can guarantee 100% straightening of the scoliosis spine. Scoliosis spine can be controlled or corrected but not total straightening.

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