Scoliosis Back

1st Visit (within 1 month after the recruitment/prescription visit)

• Regular clinical exam (as detailed in the SpineCor Assistant Software)
• SAS computer classification, to be validated by the Doctor, Orthotist or Therapist.
• The SpineCor Dynamic Corrective Brace will be set-up on the patient and a PA X- ray in brace will be taken immediately to control the brace actions
• If the brace set-up and the immediate result are satisfactory training will be given to the parent/child on how to put on and take off the brace. Each of the following visits will include a control of the brace set-up.
• The brace will be worn 20 hours per day. (Four hours break time from wearing permitted each day. The four hours however must not be taken in one period, at least two breaks must be taken each day ideally of equal duration.)

2nd Visit (4 weeks after initial fitting)

• Regular clinical exam (as detailed in the SpineCor Assistant Software)
• The brace will be adjusted based on the Doctors, Orthotists or Therapists evaluation before x-ray control

3rd Visit (3 months after initial fitting)

• Regular clinical exam
• The brace MUST FIRST be adjusted and then the result controlled with a PA X- ray in brace, which must show a reduction or stabilisation of the original Cobb angle(s).

4th Visit (6 months after initial fitting)

• Regular clinical exam (as detailed in the SpineCor Assistant Software).
• The brace will be adjusted based on the Doctors, Orthotists or Therapists evaluation this MUST BE done prior to in brace x-ray.
• PA x-ray in brace and shoe lift if prescribed.

5th Visit (9 months after initial fitting)

• Regular clinical exam (as detailed in the SpineCor Assistant Software).
• The brace will be adjusted based on the Doctors, Orthotists or Therapists evaluation.

6th Visit (12 months after initial fitting)

• The brace will be adjusted based on the Doctors, Orthotists or Therapists evaluation this MUST BE done prior to in brace x-rays.
• PA X-ray in brace and shoe lift if prescribed.

Following Visits (every 3 months*)

• Regular clinical exam (as detailed in the SpineCor Assistant Software)
• The brace will be adjusted based on the Doctors, Orthotists or Therapists evaluation this MUST BE done prior to in brace x-ray.
• PA X-ray in brace and shoe lift if prescribed each 6 months from initial brace fitting.
• When patient is ready for weaning evaluation (not normally less than 18 – 24 months from start of treatment) the brace should be removed 72 hours prior to visit for PA x-ray out of brace.

* Follow-up visits after the first 3-4 months of treatment are advised at 3 month intervals. This review period may be extended to 4 or 5 months only in cases where the prescribing doctor is confident that the risk of progression is low. Extended review periods are not advised without great experience of SpineCor treatment.