Brace SCOLIOSIS​

Scoliosis is a complex spinal deformity. Bracing can be an effective treatment but requires the appropriate case-specific bracing application. This site has been built to provide the brace user and family with all the relevant information needed to get the best possible outcome from brace treatment for scoliosis.

What is scoliosis?

Scoliosis is a problem that causes your spine to deviate from its ‘normal’ alignment. Scoliosis has been described as more of a physical condition than a diagnosis. Either way it results in a structural deformity. The deformity can have up to four components. The most obvious deformity is lateral curvature. The universal method of measurement of lateral deformity is the “Cobb angle”, which measures the degree of lateral curve created by the scoliosis. Secondly there is rotational deformity. As the spine deviates laterally it usually rotates. This rotation is what causes the “humps” that are evident when you bend forward. Thirdly there is “decompensation”. This relates to the head not being balanced perfectly over the hips. With most scoliosis, there is a tendency to be “decompensated” to the left. I.e. your head is slightly left of the center of your pelvis. Fourth there can be reduced “kyphosis” (hypo-kyphosis) otherwise known as “flat-back”, particularly prevalent with thoracic scoliosis.
Of every 1,000 children, 3 to 5 develop spinal curves that are considered large enough to need treatment. Girls are more likely than boys to have scoliosis.

Types of scoliosis/ classification/ curve patterns

Adolescent idiopathic scoliosis occurs after the age of 10. Juvenile idiopathic scoliosis occurs in children between the ages of 3 and 10. Early onset or infantile idiopathic scoliosis occurs in children less than 3 years old. There are many different patterns of scoliosis and several different classifications of these patterns. Some of the more common classifications are:practice in the morning with an extremely nominal

SRS Classification

Lumbar
Thoraco-Lumbar
Thoracic
Double

King Classification

King 1 (Lumbar double)
King 2 (Thoracic double)
King 3 (Thoracic with compensatory lumbar)
King 4 (Thoracic curve)
King 5 (Thoracic double)

Schroth Classification

3 curve
3cp
4 curve
4cp

Lenke Classification

Type 1 (main thoracic)
Type 2 (double thoracic)
Type 3 (double major)
Type 4 (triple major)
Type 5 (Lumbar, Thoraco/Lumbar)
Type 6 (Lumbar double)

LA Brace Classification

A (Lumbar, Thoraco/Lumbar)
B (Lumbar double)
BC (Balanced Lumbar/Thoracic double)
C (Thoracic Double)
D (Thoracic with compensatory lumbar, decompensation to left)
E (Thoracic with compensatory lumbar, decompensation to right)
F (Thoracic curve)
H (Thoracic double)

Treatment Options

To date the only treatment conclusively proven to actually consistently correct a scoliosis is surgery. The most effective conservative treatment modality is rigid bracing. A significant number of studies have been done on scoliosis bracing treatment and the medical community has been able to conclude that bracing can usually prevent a scoliosis from getting worse and may sometimes partially correct scoliosis. Other less proven methods include Schroth therapy, Chiropractic treatment and “boot camps”.

About Us

The information provided on this site is brought to you courtesy of Gez Bowman CO, a UK and USA certified orthotist who specializes in scoliosis brace treatment and is the designer of The LA 3D Brace™ and president of LA Brace International, Inc.

For more information or specific questions