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  • Hmmmm mri!?

    Hello all! Chiming in with my two cents! My surgery girl had her one and only MRI as a pre-requisite for surgery, and my Spinecor girl has yet to have an MRI, and she's also been seen by a few different orthos. My thought is you do the MRI if the bracing doesn't correct the problem, then it's on to surgery or find/see the "cause" for the lack of correction. pat

    Comment


    • On page 14 and 15 of this overview http://www.int-pediatrics.org/PDF/Vo...20stricker.pdf
      you'll find some indication on when MRI's might be indicated.

      In this http://www.emedicine.com/orthoped/topic504.htm more extensive article it is stated that

      MRI has been suggested to be primarily indicated in patients with idiopathic scoliosis with unusual complaints such as severe unexplained headaches and when clinical findings such as ataxia or cavus feet are present (Schwend, 1995). Routine MRI evaluation of all patients with adolescent idiopathic scoliosis is not recommended.
      Last edited by gerbo; 09-28-2006, 05:31 AM.

      Comment


      • Gerbo,

        Thanks so much for those articles. They were extremely informative.

        Melissa
        Melissa
        From Bucks County, Pa., USA

        Mom to Matthew,19, Jessica, 17, and Nicole, 14
        Nicole had surgery with Dr. Dormans on 9/12/07 at Children's Hospital of Phila. She is fused T-2 - L-3

        Comment


        • you're welcome

          hope you're ok and coping

          gerbo

          Comment


          • Originally posted by Mary Lou
            gerbo,

            I know there has been some discussion about this, so I suggest you do a search. Also, if I remember correctly, there has been more discussion about the SpineCor on the SpineKids website. Good luck.

            Mary Lou
            Hi :
            Please go to :SOSORT.org and info@skoliosehandlung.de for more information

            Comment


            • Originally posted by BETall
              Hi :
              Please go to :SOSORT.org
              I went to the website and it's very exciting !! I think it's mainly for medical professionals and not for parents of children with scoliosis.

              Canadian eh
              Daughter, Deirdre born Oct 2000. Diagnosed with 60 degree curve at the age of 19 months. Serial casting by Dr. Hedden at Sick Kid's Hospital. Currently being treated by Dr. Rivard and Dr. Coillard in Montreal with the Spinecor brace and curve is holding at "2" degrees. Next appointment 2008

              Comment


              • I am interested in the SpineCor brace, but I don't know if I want to do it. Here's why. I was in a bracing program for two and a half years when I was in my early teens and I later found out that the doctor was not really a doctor. He was a fraud and he was arrested and was charged for 117 counts of fraud. What would the chances be of these doctors being frauds too?

                Comment


                • Mri

                  When we saw Dr. Rivard, he told us that they don't even do MRI's in Canada anymore unless the upper curve goes left. He said that it never ended up being a surgical issue when the curve went right. Hope that helps.

                  Christine, I'm sorry you had to reschedule your follow-up on such short notice. I hope all goes well for you guys!

                  Caroline
                  From Massachusetts, USA
                  7-yr.-old daughter in Spinecor 9/06-10/07
                  Vertebral stapling surgery done 10/07 at Shriners in Philadelphia

                  Comment


                  • Originally posted by coloradogirl
                    I later found out that the doctor was not really a doctor. ?
                    this is the problem ion the states, where every tom, dick and harry can call themself a doctor, very confusing and misleading

                    What would the chances be of these doctors being frauds too
                    Dr coillard and rivard are both "properly registered" medical doctors and specialists, no issue about that at all

                    Understand that you must be at least in middle/ late teens now and stopped growing. Spinecor is unlikely to be of much benefit, at least not in a therapeutic sense.

                    Comment


                    • Someone above said:
                      He said that it never ended up being a surgical issue when the curve went right.

                      Which is a "right" curve -- one that's shaped like a "c" or one shaped like a backwards "c"? Mine was a backwards C at the top and I had fusion surgery many years ago. My son has now been diagnosed with a slight curve and his goes the other direction.

                      At 10 years old with a 10 degree curve, is it too soon to go see Dr. Rivard in Montreal?

                      Comment


                      • Hi,

                        From the sounds of it, your son's curve sways to the left ? You mentioned that you had surgery for your scoliosis at an earlier age and even though the majority of scoliosis cases are deemed "idiopathic" there is an undeniable hereditary link. A curve that goes to the left in an adolescent child is some cause for concern however I wouldn't start worrying just yet. Have you seen an orthopaedic surgeon ? Do they normally see cases where curves are only 10 degrees ??? I don't know what the criteria is to be seen by a specialist. If you really want to see dr. Rivard, it wouldn't hurt to give him a phone call in advance and ask for his opinion - if you need his number, let me know. Your son is 10 years old and these things have a tendency to progress very quickly especially during growth and you certainly don't want to kick yourself 6 months from now if his curve has progressed during that time.

                        I saw your other post about the torso rotation machines and I don't know too much about it since my daughter is only 5 years old and hence too young to use the machines.

                        Canadian eh
                        Daughter, Deirdre born Oct 2000. Diagnosed with 60 degree curve at the age of 19 months. Serial casting by Dr. Hedden at Sick Kid's Hospital. Currently being treated by Dr. Rivard and Dr. Coillard in Montreal with the Spinecor brace and curve is holding at "2" degrees. Next appointment 2008

                        Comment


                        • Christine,

                          When is your appointment next week ? Is it Monday ? I didn't think they had clinic on Mondays.

                          Canadian eh
                          Daughter, Deirdre born Oct 2000. Diagnosed with 60 degree curve at the age of 19 months. Serial casting by Dr. Hedden at Sick Kid's Hospital. Currently being treated by Dr. Rivard and Dr. Coillard in Montreal with the Spinecor brace and curve is holding at "2" degrees. Next appointment 2008

                          Comment


                          • Which is a "right" curve
                            A RIGHT SIDED CURVE "BULGES" TO THE RIGHT (CONVEX) AND IS HOLLOW (CONCAVE) TO THE LEFT

                            At 10 years old with a 10 degree curve, is it too soon to go see Dr. Rivard in Montreal
                            Whether you see any specialist at this stage is up to you, but at least it would give you the confidence things are monitored properly

                            However, it surely is too soon to worry, risk of progression with a curve of 10 degree (which could be actually less as measuring curve sizr is hopelessly imprecise) is quite small

                            see the following and take into account that in boys the risk is even smaller than in girls

                            The risk of progression is dependant on curve size and age of the patient. Premenarchal girls are at highest risk of progression. Thus a 20 degree curve in a premenarchal girl warrants careful attention, while the same curve in a girl approaching skeletal maturity has a very low risk of progression. Lonstein quantitated the risk of progression in a curve less than 20 degrees in a child with Risser grade 0-1 skeletal maturity at 22%, the same curve was noted to have a 1.6% risk of progression in patients with Risser grade 2-4. Boys, who do not have a biologic marker similar to menarche can be followed by determining peak height velocity. While generalizations are helpful, individual variation in behaviour of a given curve is common, and is affected by factors incompletely understood at present.

                            I'd say, dont panic, you're likely to be OK, but do keep an eye on things (with or without specialist input) "just in case"

                            Comment


                            • Originally posted by gerbo
                              ... Thus a 20 degree curve in a premenarchal girl warrants careful attention, while the same curve in a girl approaching skeletal maturity has a very low risk of progression. Lonstein quantitated the risk of progression in a curve less than 20 degrees in a child with Risser grade 0-1 skeletal maturity at 22%, the same curve was noted to have a 1.6% risk of progression in patients with Risser grade 2-4. Boys, who do not have a biologic marker similar to menarche can be followed by determining peak height velocity. While generalizations are helpful, individual variation in behaviour of a given curve is common, and is affected by factors incompletely understood at present. [/I]
                              I've seen this famous quote many times and doctors use this reasoning to justify not bracing curves until they're past 30 degrees in some instances. While I don't agree with bracing a curve when it's 10 degrees, I think careful monitoring is appropriate. I find it odd that vertebral stapling surgery is gaining widespread support by the medical community and will be widely offered in a few years time. It's my understanding that vertebral stapling is an alternative to bracing and this *surgery* is being performed on curves as small as 18 degrees ! Now if someone were to argue bracing a curve as small as 18 degrees, they would be ridiculed.

                              Canadian eh
                              Daughter, Deirdre born Oct 2000. Diagnosed with 60 degree curve at the age of 19 months. Serial casting by Dr. Hedden at Sick Kid's Hospital. Currently being treated by Dr. Rivard and Dr. Coillard in Montreal with the Spinecor brace and curve is holding at "2" degrees. Next appointment 2008

                              Comment


                              • I've seen this famous quote many times and doctors use this reasoning to justify not bracing curves until they're past 30 degrees in some instances. While I don't agree with bracing a curve when it's 10 degrees, I think careful monitoring is appropriate
                                i think we fully agree here

                                Comment

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