© 2011 The SpineCorporation LimitedCase StudiesThe SpineCor® Dynamic Corrective Brace
CASE STUDY 1© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace
Th36181410421-01-98Risser-0Th30 L56© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceCase Study 1
© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceBrace Fitting - First X-Ray in Brace
© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace2 Months After Brace Fitting
© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace6 Months After Brace Fitting
181410427-01-99RISSER 0Th 0 Th 27 L401 year after brace fitting181410403-06-99RISSER 0Th 21 ½ year after brace fitting© 20...
Before brace fitting After 18 months in brace© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceRedu...
Before treatment After treatment© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceNormalization of ...
CASE STUDY 2© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace
31o45o 30oSTARTING POINT• LL• Female• Age: 13 years 3 months• Risser 0© 2011 The SpineCorporation LimitedThe SpineCor® Dyn...
INITIAL SPINECOR FITTING• 8° Cobb reduction40o35o22o1 cmShoe lift under left foot© 2011 The SpineCorporation LimitedThe Sp...
WEANING POINT1 year and 10 months in brace• Age: 15 years 2 months 22o1 cm© 2011 The SpineCorporation LimitedThe SpineCor®...
2 YEARS FOLLOW-UP• Age: 17 years 2 months32o39o 22o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Bra...
5 YEARS FOLLOW-UP• Age: 20 years 2 months32o43o20o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brac...
COBB ANGLE IMPROVEMENTBEGINNING OF TREATMENT 5 YEARS FOLLOW UP30o 20o© 2011 The SpineCorporation LimitedThe SpineCor® Dyna...
GLOBAL, REGIONAL AND APEX CORONAL BALANCE IMPROVEMENTBEGINNING OF TREATMENT 5 YEARS FOLLOW UPCSL CSLApexApexT12T12T1 T1© 2...
POSTURAL CORRECTIONBEGINNING OF TREATMENT 5 YEARS FOLLOW-UP© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Correc...
CASE STUDY 3© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace
STARTING POINT• LTL2• Female• Age: 10 years 9 months16o58o24o38oINITIAL X-RAY WOB© 2011 The SpineCorporation LimitedThe Sp...
INITIAL SPINECOR FITTING• 20° Thoracic Cobb reduction• 26° Thoracolumbar Cobb reduction4o12o© 2011 The SpineCorporation Li...
WEANING POINT(2 years in brace)• Age: 14 years 2 months34o52o15o11o© 2011 The SpineCorporation LimitedThe SpineCor® Dynami...
5 YEARS FOLLOW-UP• Age: 19 years 2 months• Curve correction after braceweaning24o36o8o5o© 2011 The SpineCorporation Limite...
COBB ANGLE IMPROVEMENT8o5oBEGINNING OF TREATMENT 5 YEARS FOLLOW UP24o38o© 2011 The SpineCorporation LimitedThe SpineCor® D...
REGIONAL/APEX CORONAL BALANCE IMPROVEMENT8o5oBEGINNING OF TREATMENT 5 YEARS FOLLOW UP24o38oCSLCSL© 2011 The SpineCorporati...
POSTURAL CORRECTIONBEGINNING OF TREATMENT 5 YEARS FOLLOW UP© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Correc...
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Case studies 5 1-2013

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  • Case Studies
  • Case study RT1
  • Case study RT1
  • Case study RT1
  • Case Study RT1
  • Case study RT1
  • This slide clearly shows how SpineCor treatment can actually reduce the vertebral wedge shown by the intercostals spaces by opening the curve dynamically and stimulating localised vertebral growth.We have fundamentally changed something in this child.This kind of correction is only possible starting treatment before Risser 1, before first menses (before hormonal maturation and high velocity period of growth) and with flexible curves. Early treatment more likely give better results.
  • This is the same girl, showing clinically a dramatic improvement in her posture.
  • Case study 2-A female patient with a Left Lumbar Curve who is 13 years and 3 months old and has a Risser 0.-Her Initial x-rays without the brace show that she has a thoracic kyphosis and lumbar lordosis within normal limits, and a scoliosis curve of 30 degrees Cobb angle.
  • -The patient was fitted with the brace and was supplied with a 1cm shoe lift for her left shoe. Her in-brace x-ray showed a reduction in Cobb angle to 22 degrees.
  • She wore the brace for 1 year and 10 months, by which time she was 15 years and 2 months old and a Risser 3. Her curve was still at 22 degrees at this time.She continued to wear the 1 cm shoe lift.
  • 2 years follow up showed that the curve had not changed and was stable at 22 degrees. By this time the patient had also stopped using the shoe lift.
  • At 5 years follow up the curve was 20 degrees.
  • A comparison of the first and last x-rays demonstrates a moderate curve reduction.
  • A comparison of the first and last x-rays also shows an improvement in the Global, regional and apex coronal balance.At the beginning of treatment the Global Coronal balance, shown by T1, is significantly to the left of the Central Sacral Line, or CSL. The regional Coronal Balance is also left of the CSL, shown by T12. The APEX is significantly left of the CSL.At 5 years follow up the Global balance is slightly left of the CSL, the regional balance is in line with the CSL, and the Apex is closer to the CSL than at the beginning of treatment.
  • This patient also had a significant improvement in her posture. It is clear that at 5 years she is much more symmetrical in her waist creases than in the photo taken at the beginning of treatment.
  • Case study 3-Another female patient with a Left ThoracoLumbar Type 2 Curve who is 10 years and 9 months old and has a Risser 0.-Her Initial x-rays without the brace show that she has a thoracic Hypokyphosis and a slight lumbar Hyperlordosis, and two scoliosis curves with Cobb angles of 38 and 24 degrees.
  • -The patient was fitted with the brace and her in-brace x-ray showed a 20 degree reduction in the thoracic curve to 4 degrees and a 26 degree reduction in the thoracolumbar curve to 12 degrees.
  • She wore the brace for 2 years, by which time she was 14 years and 2 months old and a Risser 3. Her curves were 15 and 11 degrees at this time, and her thoracic kyphosis and lumbar lordosis were within normal limits.
  • At 5 years follow up her curves had reduced further to 8 and 5 degrees. So with this patient there was curve correction after brace weaning.
  • A comparison of the first and last x-rays demonstrates a significant curve reduction.
  • A comparison of the first and last x-rays also show an improvement in the Regional and apex coronal balance which in this type of curve is the same thing because the apex is at located at T12.
  • This patient also had a significant improvement in her posture. It is clear that at 5 years she is much more symmetrical in her waist creases than in the photo taken at the beginning of treatment.
  • Case studies 5 1-2013

    1. 1. © 2011 The SpineCorporation LimitedCase StudiesThe SpineCor® Dynamic Corrective Brace
    2. 2. CASE STUDY 1© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace
    3. 3. Th36181410421-01-98Risser-0Th30 L56© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceCase Study 1
    4. 4. © 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceBrace Fitting - First X-Ray in Brace
    5. 5. © 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace2 Months After Brace Fitting
    6. 6. © 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace6 Months After Brace Fitting
    7. 7. 181410427-01-99RISSER 0Th 0 Th 27 L401 year after brace fitting181410403-06-99RISSER 0Th 21 ½ year after brace fitting© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace12 and 18 Months After Brace Fitting
    8. 8. Before brace fitting After 18 months in brace© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceReduction of the Vertebral Wedge
    9. 9. Before treatment After treatment© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceNormalization of Postural Disorganisation
    10. 10. CASE STUDY 2© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace
    11. 11. 31o45o 30oSTARTING POINT• LL• Female• Age: 13 years 3 months• Risser 0© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceInitial X-Ray WOB
    12. 12. INITIAL SPINECOR FITTING• 8° Cobb reduction40o35o22o1 cmShoe lift under left foot© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceInitial X-ray WB
    13. 13. WEANING POINT1 year and 10 months in brace• Age: 15 years 2 months 22o1 cm© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceWeaning Point
    14. 14. 2 YEARS FOLLOW-UP• Age: 17 years 2 months32o39o 22o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace2 Years follow-up
    15. 15. 5 YEARS FOLLOW-UP• Age: 20 years 2 months32o43o20o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace5 Years follow up
    16. 16. COBB ANGLE IMPROVEMENTBEGINNING OF TREATMENT 5 YEARS FOLLOW UP30o 20o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceCobb Angle Improvement
    17. 17. GLOBAL, REGIONAL AND APEX CORONAL BALANCE IMPROVEMENTBEGINNING OF TREATMENT 5 YEARS FOLLOW UPCSL CSLApexApexT12T12T1 T1© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceCoronal Balance Improvement
    18. 18. POSTURAL CORRECTIONBEGINNING OF TREATMENT 5 YEARS FOLLOW-UP© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BracePostural Correction
    19. 19. CASE STUDY 3© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace
    20. 20. STARTING POINT• LTL2• Female• Age: 10 years 9 months16o58o24o38oINITIAL X-RAY WOB© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceInitial X-Ray WOB
    21. 21. INITIAL SPINECOR FITTING• 20° Thoracic Cobb reduction• 26° Thoracolumbar Cobb reduction4o12o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceInitial X-ray WB
    22. 22. WEANING POINT(2 years in brace)• Age: 14 years 2 months34o52o15o11o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceWeaning Point
    23. 23. 5 YEARS FOLLOW-UP• Age: 19 years 2 months• Curve correction after braceweaning24o36o8o5o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective Brace5 Years follow up.
    24. 24. COBB ANGLE IMPROVEMENT8o5oBEGINNING OF TREATMENT 5 YEARS FOLLOW UP24o38o© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceCobb Angle Improvement
    25. 25. REGIONAL/APEX CORONAL BALANCE IMPROVEMENT8o5oBEGINNING OF TREATMENT 5 YEARS FOLLOW UP24o38oCSLCSL© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BraceCoronal Balance Improvement
    26. 26. POSTURAL CORRECTIONBEGINNING OF TREATMENT 5 YEARS FOLLOW UP© 2011 The SpineCorporation LimitedThe SpineCor® Dynamic Corrective BracePostural Correction

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