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How does the SpineCor® brace work?

The SpineCor® brace uses elastic resistance to create a corrective movement of the spine and its supporting structures every time the patient moves. In the long term, the movement reprograms the neuromuscular system and, depending on the case, can correct the curve, slow or stop its progression, and/or improve the patient’s overall posture.

What conditions can the SpineCor® brace be prescribed for?

Although the SpineCor® brace was originally created to treat adolescent idiopathic scoliosis, it has been used for other spinal deformities such as adult scoliosis, kyphosis, and spondylolisthesis.

In fact, the brace has been used in preliminary clinical trials for people with different spinal deformities related to conditions including (but not limited to):

  • Scoliosis or kyphosis measured at more than 50° in patients not eligible for or having refused surgery
  • Scoliosis or kyphosis “de novo” (developed as an adult)
  • Scoliosis or kyphosis after surgical fusion
  • Post-traumatic scoliosis with lateral listhesis
  • Multiple sclerosis
  • Autism and attention deficit disorder (ADD)
  • Ehlers-Danlos syndrome
  • Noonan syndrome
  • Neurofibromatosis
  • Scheuermann’s disease
  • Camptocormia
  • Vertebral fracture in seniors
  • Vertebral fracture caused by trauma
  • Poor posture not related to spinal deformity

How much does the SpineCor® dynamic brace cost?

The cost of the brace includes the orthosis itself, as well as the exams and x-rays required at the fitting, for a total of $3,500. (This price may be modified at any time.)

The cost of monitoring the patient’s progress after the fitting depends on the number of visits required by the treatment. As the number of visits varies depending on the age and condition of the patient.

Does my insurance cover the cost of the SpineCor® brace?

It’s important to note that the brace is not covered by any public health insurance plan in Canada.

Most private insurance companies reimburse between 80 and 100% of the cost of the orthosis. They often require a prescription from a family doctor* that must read “daily use of SpineCor® brace for at least 18 months”.

In addition, they usually require an explanatory note describing the nature of the brace, which can be acquired from Dr. Irving.

* The prescription from the family doctor is just a formality required by insurance companies; Dr. Irving has complete legal authority to formulate a diagnosis and administer treatment.

Is the SpineCor® brace painful to wear?

No. One of the advantages of this brace is that it is a non-invasive and painless treatment. It is possible to feel mild discomfort at the start of the treatment, but the pain will disappear as the body grows accustomed to the brace. In the long term, the brace should diminish or even eliminate pain.

Can I go to the bathroom without taking off the brace?

Yes. There is an opening in the crotch for this purpose.

How many hours a day should the brace be worn?

The SpineCor® dynamic brace should be worn for 20 hours a day. The four-hour break should be seperated into two or more periods corresponding to the least active times of the day. However, the brace MUST be worn overnight while the patient sleeps.

How often are the follow-up visits?

Usually, young patients are seen after the first four to six weeks, and then every three months until the brace is removed.

How much does the follow-up cost?

Each follow-up exam costs $150. Every six months, an extra $150 is charged for monitoring x-rays. (The cost of the follow-up visits may be modified at any time and remain at the discretion of Dr. Irving

Can the SpineCor® brace stop the progression of a spinal deformity in an adult?

Preliminary trials have proven that:

By reinforcing the spinal support structure, the SpineCor® brace can slow the deformity’s progression and, in the most favourable circumstances, stop it. Research indicates that scoliosis can progress from .5° to almost 4° per year in adults, with the progression deteriorating especially quickly in curves of more than 30° (see ADULT SCOLIOSIS). The SpineCor® brace, when used in the long term, can in fact be an effective tool to prevent the abnormal curve from progressing, allowing patients to experience a higher quality of life.

How many hours a day should the brace be worn by adults?

It is recommended that adults wear the SpineCor® brace for the same number of hours as prescribed for adolescents, that is, 20 hours a day.

However, is it more realistic for most adults to wear it only during the day.

Whatever the patient decides, the basic principle remains the same: the more a patient wears the brace during active periods, the more he or she will feel the beneficial effects. Because the brace creates a corrective movement in the spinal column and provides dynamic support against the compressive force of gravity, wearing it only at night is not a good option if the patient decides to wear it less than the prescribed number of hours.

Some patients choose to wear the brace only during painful episodes. In the end, it is the patient’s decision how many hours a day he or she is willing to wear it.