Treatment of Idiopathic Scoliosis
The D.B.S. (Dynamic Brace System) is a patented system used for the treatment of idiopathic juvenile, adolescent, and adult scoliosis.
The treatment of idiopathic scoliosis depends upon a number of factors, including the physiological age of the patient, the size and location of the curve, and the progress of the curve. Recommended treatment using the D.B.S. varies accordingly.
Apply treatment based on the following criteria:
- Curves of less than 10° should not be considered idiopathic scoliosis.
- It is recommended to treat curves of less than 20° with the D.B.S. only when the patient suffers from continued lower back pain. In these cases, treatment is recommended once a day for 30 minutes, until the elimination of pain (about 15-20 treatments). An X-ray should be taken six months after the end of the treatment to ensure that the curve has not progressed.
- For curves of 20°-30° in children who have no pain or other complaints, it is recommended to apply the D.B.S. treatment 2-3 times daily until maturity of the spine is reached. For these curves in children who do report pain, it is recommended to apply the D.B.S. treatment 3 times daily until the child reports no pain or until maturity of the spine is reached. For adults who report pain, it is recommended to apply the D.B.S. treatment once a day. Adults with curves of 20°-30° who do not report pain should not receive the D.B.S. treatment. Patients should continue to receive treatments once a day for 2-3 years to prevent regression.
- Patients with curves of 30°-40° should begin D.B.S. treatment immediately, 3 times daily for 30 minutes until maturity of the spine is reached. Patients should continue to receive treatment 1-2 times daily for an additional 6 months, and once a day for 2-3 additional years.
- In patients with curvatures above 40 degrees, D.B.S. treatment should not be used. It is recommended to undergo surgery.
- In all cases, X-rays should be taken every 3 months to monitor the progress of the treatment. If progression of the curve greater than 5° is discovered at any time, the patient should immediately begin to receive 3 daily treatments of 30 minutes each for 3 months. At the end of this time another X-ray should be taken, and if progression of the curve greater than 5° is discovered again, the administering medical professional should immediately re-evaluate the case.
- When applying traction with the Vertetrac and the D.B.S., apply as much traction as possible within the tolerances of the patient.