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scolio1964
02-16-2011, 11:42 PM
Is anyone familiar with the LA brace? Has anyone had any good or bad experiences with it?

Thank you!

flerc
03-04-2011, 09:10 AM
I have not read very much about this but it seems to be a great idea. Also I think that the risk should to be high if it is used with the spine not deroted and straightened

livingtwisted
03-04-2011, 03:21 PM
The La Brace is one of few braces that actually works to derotate.

flerc
03-05-2011, 09:40 AM
The La Brace is one of few braces that actually works to derotate.

It really derotates? I have only heard about good outcomes with the Spinecor, Gypsum brace (EDF) and Cheneau.

rohrer01
03-05-2011, 10:53 AM
I don't mean to sound ignorant, but if I don't ask I will remain ignorant. What is an LA brace? Can it reach very high thoracic curves? Can it be used on adults? Thanks in advance!

rohrer01
03-05-2011, 11:30 AM
Never mind my last question. I looked it up. It looks like the Milwaukee brace is the only one that could reach where I need it to reach. I don't think they use it on adults and compliance is very low for obvious reasons... :-(

flerc
03-05-2011, 01:15 PM
Roher, I don't know how works Milwaukee, but why do you think that EDF brace could not reach where you need?
It's a simple and obvious concept, in fact I imagined it before reading about EDF technique. Why are you so sure that it can not work with you? I really don't understand.

hdugger
03-05-2011, 01:15 PM
Yeah, same deal with my son who has a high thoracic curve.

livingtwisted
03-05-2011, 01:18 PM
It really derotates? I have only heard about good outcomes with the Spinecor, Gypsum brace (EDF) and Cheneau.

Yes, it's very similar to the Cheneau. It applies pressure to the convexities and allows space to expand into the concavities.


I don't mean to sound ignorant, but if I don't ask I will remain ignorant. What is an LA brace? Can it reach very high thoracic curves? Can it be used on adults? Thanks in advance!

It can be used on adults -- it is always custom made for the curve, but then additional alterations are made for the needs of the adult. I don't think it works for high thoracic curves -- it is a Cheneau-style underarm TLSO.

rohrer01
03-05-2011, 02:21 PM
Roher, I don't know how works Milwaukee, but why do you think that EDF brace could not reach where you need?
It's a simple and obvious concept, in fact I imagined it before reading about EDF technique. Why are you so sure that it can not work with you? I really don't understand.

I'm not quite sure I ever understood what EDF is. A Milwaukee brace stabilizes the entire spine and has a chin rest. It's not something that can be hidden under clothing.

flerc
03-05-2011, 04:34 PM
http://www.scoliosis.org/forum/showthread.php?10607-I-m-seriously-evaluating-EDF-for-my-daughter
I have never heard it could not works in some kind of curve. I suppose that when the curve is decreases and derotated, the gypsum brace not allowed it to increase again.

rohrer01
03-05-2011, 09:39 PM
Oh, yes. I remember now. I looked it up. It's plaster casting. I can't imagine any practitioner that would put me in a plaster cast. I still don't think that would work unless there was some way to keep the stretch on the cervical and upper thoracic spine. I'm getting older and don't think I'm flexible enough to consider that. If I were 12 years old, then yes.

flerc
03-05-2011, 11:10 PM
Oh, yes. I remember now. I looked it up. It's plaster casting. I can't imagine any practitioner that would put me in a plaster cast. I still don't think that would work unless there was some way to keep the stretch on the cervical and upper thoracic spine. I'm getting older and don't think I'm flexible enough to consider that. If I were 12 years old, then yes.

If the lack of flexibility is so irreversible, how can surgery reduce degrees?

rohrer01
03-05-2011, 11:36 PM
In especially stiff spines, I have seen procedures where they actually remove the discs to create flexibility. They insert cages along with rods and screws to get the correction that they want.

Pooka1
03-06-2011, 09:25 AM
They also do wedge osteotomies.

At some point, the properties of the screws and rods simply overcome the spine and force it straighter. Some braces on some kids can do this but only temporarily. No brace is claimed to work on a mature spine for permanent straightening or even halting progression.

flerc
03-06-2011, 06:21 PM
In especially stiff spines, I have seen procedures where they actually remove the discs to create flexibility. They insert cages along with rods and screws to get the correction that they want.

Mmmm... lack of flexibility because discs?... I always thought it would be because short muscles of one side with a high tone or maybe because stiff joints.
I also thought that at least traditional procedures make a force to derotate and stretch the spine.. something difficult to imagine if lack of flexibility would be so irreversible.