Sunday, 5 November 2017
Scoliosis, the medical term for curvature of the spine, affects millions of people, an estimated 2 to 3 percent of the population. The most common form is idiopathic scoliosis (in which the cause is unknown), and it most commonly occurs between the ages of 10 and 18. Girls are much more likely than boys to require treatment.
The severity of scoliosis and the need for treatment is determined by the angle at which the spine is out of normal alignment. Milder cases generally require no treatment.
- If the spinal curve is less than 25 degrees, ongoing monitoring is recommended to see if the angle is increasing.
- If the curve is increasing over time, or if it is between 25 and 40 degrees, treatment with bracing is used.
- When the angle exceeds 45 to 50 degrees, surgical correction may be necessary.
Great progress has been made in recent years in treatment for that middle range of scoliosis to stop the progression and avoid the need for surgery. Jennifer Winell, MD, an attending surgeon at Children's Hospital of Philadelphia (CHOP) who specializes in non-surgical scoliosis treatment, explains. “Braces hadn’t changed much in 20 or 30 years. Some of us in the field began to look for innovative alternatives. Medicine is advancing and we thought there might be new ways to treat scoliosis.”
New non-surgical options
Dr. Winell’s research did find two significant advances, and these are now options for treatment at CHOP. Used in combination, they hold great promise for stopping the progression of scoliosis before it gets severe enough to require surgery.
The first is a new type of brace, developed by a physician in Spain. The brace is lighter than traditional scoliosis braces. It is made of thinner material, so it doesn’t get as hot. It attaches in front, not in back, so it’s easier to put on and take off. And, most importantly, it provides three-dimensional correction, where traditional braces only provided side-to-side pressure.
The second element in treatment is a new type of physical therapy, called Schroth exercises, developed in Germany and refined over time by therapists around the world. The exercises are tailored to the specific spinal curvature problems of each patient, and work on posture, strength, breathing, the functions of daily life and self-image.
“The combination of improvements makes the brace more appealing to patients and more effective,” says Dr. Winell. “When combined with the Schroth exercises, kids feel more active in their own care. And when they feel involved, they do a better job of sticking with the treatment. That makes a huge difference in the outcomes. I’m seeing it in my practice. We’ve been offering this for a year now, so it’s too early to have definitive data. But when kids come in after their first couple of months with the brace and the therapy, I’m seeing real progress.”
Because there’s a genetic component to scoliosis, some parents of young patients have experience themselves with older treatments. Their own discomfort with earlier braces may make some hesitant about seeking treatment for their children. Parents and patients should know that recent advances in non-surgical scoliosis treatment have made them more comfortable, more engaging and more effective.
Source : Childrens Hospital of Philadelphia , 24 Oct 2017
Saturday, 14 October 2017
6-year-old Louis is handicapped with a genetic disorder known as infantile spinal amyotrophy – his back was bent at an extreme angle, which has caused him some breathing trouble. Rehabilitation, back braces, and orthopedic corsets were not helping, and he has spent the last six months lying flat in bed.
A robot named ROSA was tasked with completing a very important part of the obviously necessary surgery: the installation of ilio-sacral screws into the patient’s spine.
“It was a question of placing illio-sacral screws and hooks at the top of the back, connected by arched rods to straighten the back,” explained Professor Richard Gouron, the patient’s head of surgery. “The installation of the screws seven millimeters in diameter in a bone corridor of eight millimeters near the roots nervous system remains very complex and rare, they are voluminous in view of the small size of the child’s bones.”
Source : 3dPrint , 11 Oct 2017
Flexpine Research Center, Specialized in Spinal Scoliosis, is Starting to Bloom in the Healthcare Innovation Park, Seoul National University Hospital Building in Bundang
Flexpine Orthosis is receiving spotlight as Flexpine Research Center which supplies customized medical devices relocated to Seoul National University Hospital in Bundang last year. Based on thorough research and studies mutually performed in the Healthcare Innovation Park at Seoul National University Hospital in Bundang, the Flexpine Orthosis is spotlighted as an alternative medical treatment for its minimized discomforts and effectiveness in treating scoliosis.
Located on the 4th floor of Healthcare Innovation Park at Seoul National University in Bundang, the Flexpine Orthosis Research Center is a healthcare center which utilizes detailed body measurement information and 3D printer to produce an accurately designed order based orthosis.
A percentage of patients being treated with conventional scoliosis orthosis complained for the discomforts when wearing the stiff braces. The patients to bend the upper body in order for adequate exercises, the conventional sedentary orthosis devices created certain discomforts when bending because the stiff devices are composed of hard plastic. Also, the sedentary devices hardly allowed for the patients to move, which means that the patients cannot simultaneously wear the device and perform spine adjustment exercises, which is an essential part of rehabilitation.
On the other hand, Flexpine Orthosis utilizes flexible and hard plastics for necessary parts along with elastic bands, which facilitates easy wearing and allows the patients to perform spine adjustment exercises simultaneously.
Flexpine Orthosis Research Center plans to export its products worldwide after going through patents and medical approvals.
Flexpine Research Center is a South Korean company which aims to make reasonably wearable medical devices with 3D printers. Flexpine Brace 0is light, wearable, and unshowing to others when seen outside. It can also be a genuinely helpful and effective brace who wants a comfortable device for scoliosis rehabilitating journey.
Flexpine Research Center offers an excellent experience for detailed body measurements, product trial and x-rays scans.
Source : Digital Journal , 12th Oct 2017
Early detection and new treatment methods help doctors treat the spinal condition using magnets – and fewer surgeries.
“The longer a child wears the brace every day, the more likely they are to succeed in keeping the curve from progressing and needing surgery,” she explains.
And what about when surgery is necessary? In the past, a severe scoliosis diagnosis meant multiple surgeries – every 6-9 months – to lengthen growing rods that guided the spine into a healthier position. Thankfully, a new treatment is drastically reducing the number of surgeries necessary for little ones. Called the Magec Growing Rod System, the technique requires an initial surgery to implant temporary growth rods that can be lengthened by magnets from outside the body until a child reaches skeletal maturity. That means less time in the hospital, and more time practicing those curveballs
Source : OHSU , 9th Oct 2017
Source : OHSU , 9th Oct 2017