Miami Scoliosis

• The first component consists of the pelvic base, the crotch bands and the thigh bands. Its role is to act as an anchoring point and support for the actions applied to the patient’s trunk by the elastic bands. When the pelvic base is stable, the traction by the elastic bands is provided along the stable lines. The flexible nature of the pelvic section of the brace permits free movements of the trunk and engagement of the pelvis in the corrective movement.


• The second component consists of the bolero and the corrective elastic bands. Its function is directly related to the active principle of the dynamic corrective brace. It allows a custom fitting of the brace aimed at modifying the postural geometry of the moving spinal column.

The corrective elastic bands of different length allow for many possibilities in brace adjustment for an optimal correction. Overall, there are 4 major ways to fit the corrective bands, corresponding to the thoracic, thoracolumbar, lumbar and double scoliosis. The SpineCor Assistant Software provides the guidelines for the choice of the bands and snaps.

• A treatment approach based on the latest understanding of the cause and progression factors of Idiopathic scoliosis.
• A much more acceptable treatment to patients, being cooler to wear, less restrictive, more easily concealed under clothing and 4 hours of out of brace time per day.
• No side effects. Rigid braces cause muscle atrophy and can be harmful to normal development in a growing child.
• Excellent treatment results, particularly when treatment is started early.
• Excellent stability of treatment results post bracing.
• Neuromuscular integration for maintenance of improved posture.
• Potential to reduce incidence of surgical intervention.

• Scoliosis may be detected by your family doctor while performing a routine check-up. If necessary, it will be confirmed with an X-ray of your back.
• School screening, unfortunately, is not very common in most countries but it is the best way to detect scoliosis early. Usually, this is done using an instrument call a scoliometer, which is a simple angle finder or inclinometer that measures rotations of the spine/rib cage. A nurse, or other healthcare professional with special training, can check a child within two minutes using a scoliometer. It is simple to use and it is even possible for a parent to check their own child following some simple instructions.
• It is important to follow-up on the deformation evolution, especially during childhood. This surveillance must be done by an orthopaedic doctor through regular check-ups, every 3 to 6 months, depending on the severity of the curve, the age of the child and the family history. These check-ups include a physical examination and an X-ray, if necessary.
• Scoliosis is quantified by the measurement of the angle of your spine curvature on the X-ray. This is called the Cobb angle.
• General non-surgical treatment indications are: skeletally immature children with curves of 15º or more combined with either proven progression (5º or more in six months or less) or strong family history.

• Scoliosis affects between 2 and 3% of the population.
• Among the most severe scoliosis cases, 8 out of 10 are young females.
• Scoliosis begins in childhood or adolescence. It occurs at different ages and is categorised accordingly as an infantile, juvenile or adolescent scoliosis. It can be detected at all ages but as it is very much related to growth, it is most common in adolescence.
• In more than 80% of the cases, the real cause of scoliosis remains unknown; this is why it's called idiopathic. There are many hypotheses being studied by researchers. Heredity and growth control mechanisms are the main focus for modern research. Whilst there is no scientific consensus on the precise cause and progression factors of idiopathic scoliosis, enough is known to improve non-surgical treatments.

If untreated, most severe scoliotic deformations have mid and long-term consequences on:

• Vital functions: respiratory and cardiac pathology
• Locomotion: pain and mobility limitation
• Aesthetic: hunchbacked aspect and short trunk.