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      Scoliosis
      BioMed Central
      6th International Conference on Conservative Management of Spinal Deformities
      21-23 May 2009

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          Abstract

          Introduction Hyperkyphosis has long been reported to be associated with many health disorders, both psychological and patho-mechanical. Very few options for the management of this condition are available in medicine, while conservative treatment like chiropractic and physiotherapy can only offer limited structural rehabilitation. Although originally designed for the treatment of AIS, The SpineCor® Dynamic Brace offers a great variety of options for the treatment of Hyperkyphosis. According to our morphologic classification of hyperkyphotic thoracic curves: Upper Thoracic (UT) (often associated with an anterior thoracic translation relative to pelvis), mid-thoracic (MT) (often associated with hyperlordosis and no significant ribcage translation), and lower thoracic (LT) (often associated with posterior translation of ribcage). Many combinations of brace fittings have been designed for the creation of vectors that create a specific corrective movement for the patient's spine and posture. Methods Sixteen adult hyperthoracic kyphotic patients, 12 males and 4 females (aged 19 to 81 years), were fitted with a SpineCor Dynamic Brace according to the morphology of their curves: UT (6 patients), MT (4 patients), and LT (6 patients). Postural comparative evaluation was made with PosturePrint® software which provides a Posture Index, and radiologic measurements were made with a posterior tangent method using segmental angles and then compared to the Harrison Sagittal Spinal Model (HSSM). Results The UT group received significant pain relief from 2.4 to 1/10, while their posture index went from 15.3 to 12.2. Pain in the MT group decreased from 3.75 to 2/10, while the posture index was reduced significantly from 17.75 to 12.75. The LT group seemed to benefit the most from the brace, as their overall pain decreased from 5.7 to 2.2/10, although their posture index actually increased slightly from 14.7 to 17.3. Although their overall sagittal balance was better, none of these groups benefited from a significant change in their thoracic lateral curve, as is to be expected in adults. Discussion These results suggest that the treatment of adult thoracic hyperkyphosis with the SpineCor® Dynamic brace appears to be promising. It should imperatively be applied to younger patients who have the potential to grow out of their deformity.

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          Author and article information

          Conference
          Scoliosis
          Scoliosis
          Scoliosis
          BioMed Central
          1748-7161
          2009
          14 December 2009
          : 4
          : Suppl 2
          : O56
          Affiliations
          [1 ]Posturetek 2823 Boulevard Rosemont Montréal, Québec H1Y 1L6, Canada
          Article
          1748-7161-4-S2-O56
          10.1186/1748-7161-4-S2-O56
          2793485
          04e3f826-106d-4164-9a80-7442532dfd5d
          Copyright ©2009 Marcotte et al; licensee BioMed Central Ltd.
          6th International Conference on Conservative Management of Spinal Deformities
          Lyon, France
          21-23 May 2009
          History
          Categories
          Oral Presentation

          Orthopedics
          Orthopedics

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