Scoliosis: Treatment with a spinal orthosis (spinal brace)SScoliosis: Treatment with a spinal orthosis (spinal brace)Scoliosis: Treatment with a spinal orthosis (spinal brace)EnglishOrthopaedics/MusculoskeletalPre-teen (9-12 years);Teen (13-18 years)SpineSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices9.0000000000000060.00000000000001715.00000000000Health (A-Z) - ProcedureHealth A-Z<p>A spinal brace holds your spine in place, decreasing the chance that your spinal curve will get worse as you grow. Learn about the different types.</p><h2>What is scoliosis?</h2><p>Scoliosis (say: skoh-lee-OH-sis) is a sideways curvature in the spine.</p> <figure> <span class="asset-image-title">Scoliosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/scoliosis_03_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">With scoliosis, the spine curves to one side, usually to the right, resulting in one shoulder being higher than the other. </figcaption> </figure> <h2>What is a spinal orthosis?</h2><p>An orthosis (say: or-THOH-sis) is a medical device that is designed to support or treat people who have problems with their muscles, bones or joints.</p><p>At this time in your life, your body is growing quickly. This rapid growth increases the risk that the curves in your spine will get larger too. A <a href="/Article?contentid=973&language=English">spinal orthosis</a> is a back brace that is designed to hold your spine in place and decrease the chance that the curve in your spine will become worse as you grow.</p><p>By wearing a spinal orthosis, 80% (8 out of 10) of curves will stay the same size. Some curves may get smaller. That is a nice bonus, but it is not to be expected.</p><p>Your orthosis will be custom-made to fit you.<br></p><h2>Key points</h2> <ul> <li>A spinal orthosis holds your spine in place and decreases the chance that the curve in your spine will get worse as you grow. </li> <li>You need to wear a spinal orthosis until your skeleton stops growing so quickly. </li> <li>There are three main types of spinal orthoses used to treat scoliosis. </li> <li>Patients who need a surgery called thoracoplasty will wear a brace for two to four months to help their ribs heal. <br><br></li> </ul><h2>How long will you need to wear a spinal orthosis?</h2> <p>In order for the orthosis to work properly, it must be worn full-time, which is 22 to 23 hours per day.</p> <p>You will need to wear a spinal orthosis until your skeleton stops growing so quickly. This will be when you have almost reached your full height. For girls, this occurs about two years after their period starts. Boys usually stop growing so quickly by age 16. </p> <p>Your orthopaedic doctor will monitor you closely and will determine through X-rays and height measurements when you have finished growing. </p> <h2>Getting a spinal orthosis</h2> <p>Your family doctor or paediatrician has referred you to the Orthopaedic Clinic. You will need to make several visits to the clinic. </p> <ul> <li>At your first visit, you will be seen by a nurse, a physiotherapist and an orthopaedic doctor to assess your spine. An X-ray may be taken at this time. </li> <li>If a spinal orthosis is needed, you will be seen by a certified orthotist. An orthotist is a person who has been trained in making, fitting and assessing spinal and other orthoses. Your first visit with your orthotist may be on the same day as your clinic appointment, or it may be scheduled many weeks later. At this first visit, the orthotist will take many measurements and will take a cast of your body in order to make your custom spinal orthosis.</li> <li>A month later, you will see your orthotist again to fit the spinal orthosis. </li> <li>A month after the orthosis is fitted, you will see your orthotist again to have an X-ray taken while you wear your spinal orthosis. Any final adjustments will be made. The X-ray should show that the curve in your spine is straighter while wearing the orthosis. </li> <li>After that, you will be seen by your scoliosis care team every four to six months, or sooner if needed. Your scoliosis care team will include the doctor, the physiotherapist and the certified orthotist. </li> </ul><h2>What happens at the first visit</h2> <p>Your first appointment with your orthotist takes about an hour. Your orthotist will spend some time giving you information about spinal orthoses and answering your questions. You will then be given two long body stockings to wear for the assessment and casting part of the visit. </p> <p>Your orthotist will examine you, ask you some questions, and then measure your body with a cloth measuring tape and calipers, which is a type of ruler. After that, you will be asked to lie on a casting bed while wet plaster of paris bandage is applied to the front of your body. The plaster takes about 10 minutes to set and harden. After that, you lie on your stomach while plaster is applied to your back. After the plaster hardens, the cast is removed by simply lifting it off your body. </p> <p>This process is not painful. You will feel a little cold and some discomfort as the wet plaster is applied to your body. As the plaster hardens, the cast will become quite warm.</p> <p>We recommend that you bring extra undergarments to change into after the casting.</p> <h2>What happens at the fitting appointment</h2> <p>After putting on a body stocking, you will try on your spinal orthosis. Your orthotist will mark the plastic to trim some away. This will happen a few times until the trim lines of your orthosis are right. At this point, the spinal orthosis is finished and is ready for the final fitting, about an hour later. </p> <p>Your orthotist will speak with you and give you written instructions to make sure you know how to use the orthosis, and how to take care of your body and the spinal orthosis.</p> <p>A fitting appointment may take up to three hours. A lot of time is spent waiting while your orthotist is completing work, so please bring something to keep yourself busy during these down times. </p><h2>At SickKids</h2> <p>As well as the basic colours of the orthosis, there are other optional designs, cartoon characters and sports logos that are available for a small extra fee. </p> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a target="_blank" href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca</a>. </p>
Scoliose : Traitement avec une orthèse vertébrale (corset dorsal)SScoliose : Traitement avec une orthèse vertébrale (corset dorsal)Scoliosis: Treatment with a spinal orthosis (spinal brace)FrenchOrthopaedics/MusculoskeletalPre-teen (9-12 years);Teen (13-18 years)SpineSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices9.0000000000000060.00000000000001715.00000000000Health (A-Z) - ProcedureHealth A-Z<p>​Un corset dorsal permet de maintenir votre colonne en place et de diminuer ainsi les risques que la courbure de votre colonne vertébrale ne s’aggrave tandis que vous grandissez. Découvrez les différents types d’orthèses utilisées.</p><h2>Qu’est-ce que la scoliose?</h2> <p>La scoliose désigne une courbure de la colonne vertébrale.</p> <figure> <span class="asset-image-title">Scoliose <img alt="" /> <figcaption class="“asset-image-caption”">En raison de la scoliose, la colonne courbe vers le côté, habituellement vers la droite, et pour cette raison l'une des épaules est plus haute que l'autre. </figcaption> </span></figure> <h2>Qu’est-ce qu’une orthèse vertébrale?</h2> <p>Une orthèse est un instrument médical conçu pour aider ou traiter des personnes qui ont des problèmes musculaires, osseux ou articulaires.</p> <p>À cette époque de votre vie, votre corps grandit rapidement. Cette croissance rapide augmente le risque que les courbures dans votre colonne vertébrale s’accentuent. Une orthèse vertébrale est un corset pour le dos qui sert à tenir en place votre colonne vertébrale et à diminuer les risques que les courbures dans votre colonne s’aggravent au fur et à mesure que vous grandirez.</p> <p>En portant une orthèse vertébrale, 80 % (8 sur 10) des courbures ne s'aggraveront pas. Certaines pourraient même diminuer. C’est un bonus, mais il ne faut pas compter dessus. Votre orthèse sera faite sur mesure.</p><h2>À retenir</h2> <ul><li>Une orthèse vertébrale maintient votre colonne vertébrale en place et diminue les risques que la courbure de votre colonne vertébrale s’aggrave tandis que vous grandissez.</li> <li>Vous devrez porter une orthèse vertébrale jusqu’à ce que votre squelette cesse de grandir rapidement.</li> <li>Il existe trois types principaux d’orthèses vertébrales pour traiter la scoliose.</li> <li>Les patients qui doivent subir une chirurgie appelée thoracoplastie devront porter un corset pendant 2 à 4 mois pour aider leurs côtes à guérir.</li></ul><h2>Combien de temps devrez-vous porter une orthèse vertébrale?</h2> <p>Afin que l’orthèse fonctionne bien, elle doit être portée en tout temps, c’est-à-dire de 22 à 23 heures par jour.</p> <p>Vous devrez porter une orthèse vertébrale jusqu’à ce que votre squelette ait fini de grandir très rapidement, c’est à dire, lorsque vous aurez presque atteint votre taille adulte. Chez les filles, cela se produit environ 2 ans après le début des menstruations (règles). Les garçons arrêtent habituellement de grandir si vite vers l’âge de 16 ans. </p> <p>Votre médecin orthopédique surveillera votre croissance attentivement et déterminera grâce à des radiographies aux rayons X et des mesures de votre taille le moment où vous aurez fini de grandir.</p> <h2>Obtenir une orthèse vertébrale</h2> <p>Votre médecin de famille ou pédiatre vous a dirigé à la clinique d’orthopédie. Vous aurez des visites régulières à la clinique.</p> <ul><li>Lors de votre première visite, vous rencontrerez un infirmier, un physiothérapeute et un médecin orthopédiste pour évaluer l’état de votre colonne. Il est possible qu’on prenne des radiographies à ce moment-là.</li> <li>Si vous avez besoin de porter une orthèse vertébrale, vous rencontrerez un orthésiste certifié. Un orthésiste est une personne formée pour fabriquer, ajuster et évaluer des orthèses vertébrales ou autres. Votre première visite avec l’orthésiste sera peut-être le même jour que votre rendez-vous à la clinique, ou il sera peut-être plusieurs semaines après. Lors de cette première visite, l’orthésiste prendra de nombreuses mesures et fabriquera un moulage de votre corps afin de vous fabriquer une orthèse vertébrale sur mesure.</li> <li>Un mois plus tard, vous rencontrerez de nouveau l’orthésiste pour ajuster l’orthèse vertébrale.</li> <li>Un mois après l’ajustement de l’orthèse, vous rencontrerez encore l’orthésiste pour prendre une radiographie pendant que vous portez l’orthèse vertébrale. Au besoin, des ajustements finaux seront effectués. La radiographie devrait indiquer que la courbure de votre colonne est moins prononcée lorsque vous portez l’orthèse.</li> <li>Ensuite, vous rencontrerez l’équipe soignante pour votre scoliose tous les 4 à 6 mois, ou plus tôt au besoin. L’équipe soignante pour votre scoliose comprend le médecin, le physiothérapeute et l’orthésiste certifié.</li></ul><h2>La première visite</h2> <p>La première visite chez l’orthésiste prend environ une heure. L’orthésiste vous donnera des informations sur les orthèses vertébrales et il répondra à vos questions. On vous donnera 2 longs maillots de corps à porter pour l’évaluation et le moulage.</p> <p>L’orthésiste vous examinera, vous posera des questions, puis prendra des mesures de votre corps avec un mètre ruban et un pied à coulisse (un type de règle). Ensuite, il vous demandera de vous allonger sur un lit de moulage pendant qu’il apposera des bandes mouillées de plâtre de Paris sur l’avant de votre corps. Le plâtre met environ 10 minutes à durcir. Vous vous allongerez ensuite sur le ventre pendant qu’il appose du plâtre sur votre dos. Une fois le plâtre durci, le moulage est retiré tout simplement en le soulevant de votre corps.</p> <p>Ce processus n’est pas douloureux. Vous aurez un peu froid et vous sentirez un peu d’inconfort pendant que l’orthésiste applique le plâtre sur votre corps. Au fur et à mesure que le plâtre durcira, le moulage deviendra assez chaud.</p> <p>Nous vous recommandons d’apporter d’autres sous-vêtements pour vous changer après le moulage.</p> <h2>Rendez-vous pour l’ajustement</h2> <p>Après avoir enfilé le maillot de corps, vous essayerez votre orthèse vertébrale. L’orthésiste fera des marques sur le plastique pour indiquer les parties à couper. Cela se reproduira quelques fois jusqu’à ce que toutes les marques de découpage pour votre orthèse soient au bon endroit. L’orthèse vertébrale est alors terminée et elle est prête pour l’ajustement final, environ une heure plus tard.</p> <p>Votre orthésiste discutera avec vous et vous donnera des instructions écrites pour s’assurer que vous savez comment utiliser votre orthèse, et comment prendre soin à la fois de votre corps et de l’orthèse vertébrale.</p> <p>Un rendez-vous pour l’ajustement peut durer jusqu’à 3 heures. Vous aurez à passer beaucoup de temps à attendre que l’orthésiste termine son travail, alors apportez quelque chose pour vous occuper.</p><h2>À l’hôpital SickKids :</h2> <p>Pour quelques frais supplémentaires, voici les choix qui s’offrent à vous : couleur de l’orthèse, dessins de personnages de bandes dessinées et logos sportifs. </p> <p>Tous les profits des traitements orthétiques du Centre d’orthétique sont destinés aux soins des patients et la recherche à l’hôpital SickKids. Pour plus de renseignements, consultez le site du <a target="_blank" href="http://www.centrefororthotics.ca/">Centre d'orthétique​.</a>. </p>

 

 

Scoliosis: Treatment with a spinal orthosis (spinal brace)974.000000000000Scoliosis: Treatment with a spinal orthosis (spinal brace)Scoliosis: Treatment with a spinal orthosis (spinal brace)SEnglishOrthopaedics/MusculoskeletalPre-teen (9-12 years);Teen (13-18 years)SpineSkeletal systemNon-drug treatmentCaregivers Adult (19+)NA2009-12-29T05:00:00ZThe Certified Orthotists at the Centre for Orthotics and Medical Devices9.0000000000000060.00000000000001715.00000000000Health (A-Z) - ProcedureHealth A-Z<p>A spinal brace holds your spine in place, decreasing the chance that your spinal curve will get worse as you grow. Learn about the different types.</p><h2>What is scoliosis?</h2><p>Scoliosis (say: skoh-lee-OH-sis) is a sideways curvature in the spine.</p> <figure> <span class="asset-image-title">Scoliosis</span> <img src="https://assets.aboutkidshealth.ca/akhassets/scoliosis_03_MED_ILL_EN.jpg" alt="" /> <figcaption class="asset-image-caption">With scoliosis, the spine curves to one side, usually to the right, resulting in one shoulder being higher than the other. </figcaption> </figure> <h2>What is a spinal orthosis?</h2><p>An orthosis (say: or-THOH-sis) is a medical device that is designed to support or treat people who have problems with their muscles, bones or joints.</p><p>At this time in your life, your body is growing quickly. This rapid growth increases the risk that the curves in your spine will get larger too. A <a href="/Article?contentid=973&language=English">spinal orthosis</a> is a back brace that is designed to hold your spine in place and decrease the chance that the curve in your spine will become worse as you grow.</p><p>By wearing a spinal orthosis, 80% (8 out of 10) of curves will stay the same size. Some curves may get smaller. That is a nice bonus, but it is not to be expected.</p><p>Your orthosis will be custom-made to fit you.<br></p><h2>Types of spinal orthoses</h2> <p>There are three main types of spinal orthoses that are commonly used to treat scoliosis.</p> <ul> <li>The first type is called a <a href="/Article?contentid=975&language=English">thoraco-lumbar-sacral orthosis (TLSO)</a>. This is the most commonly prescribed orthosis because it treats both single and double curves. This is what you will likely be wearing. </li> <li>There are two other spinal orthoses your doctor may prescribe for you: the <a href="/Article?contentid=976&language=English">unbending spinal orthosis</a> and the <a href="/Article?contentid=970&language=English">Milwaukee orthosis</a>. These are less commonly used and are for a specific type of curve.</li> </ul> <h3>Modern spinal orthoses</h3> <p>Orthotists have been working to make better spinal orthoses for children who have scoliosis. Modern spinal orthoses now weigh less, are more comfortable, and are easier to wear.<br></p><h2>Key points</h2> <ul> <li>A spinal orthosis holds your spine in place and decreases the chance that the curve in your spine will get worse as you grow. </li> <li>You need to wear a spinal orthosis until your skeleton stops growing so quickly. </li> <li>There are three main types of spinal orthoses used to treat scoliosis. </li> <li>Patients who need a surgery called thoracoplasty will wear a brace for two to four months to help their ribs heal. <br><br></li> </ul><h2>What happens at the follow-up appointments</h2> <p>The first follow-up appointment is scheduled for four weeks after the spinal orthosis has been fitted. This gives you enough time to slowly get used to wearing the spinal orthosis full-time. On this day, you will have an X-ray taken of your spine while you are wearing your spinal orthosis. This helps us ensure that the pads of the orthosis are doing the job to make your spine straighter while you are wearing the orthosis. After your X-ray, you will see your orthotist for final adjustments. </p> <p>Other follow-up appointments with your orthotist will be scheduled on the same day as the follow-up appointments with your orthopaedic doctor. An appointment may be scheduled sooner if adjustments are needed. </p><h2>How long will you need to wear a spinal orthosis?</h2> <p>In order for the orthosis to work properly, it must be worn full-time, which is 22 to 23 hours per day.</p> <p>You will need to wear a spinal orthosis until your skeleton stops growing so quickly. This will be when you have almost reached your full height. For girls, this occurs about two years after their period starts. Boys usually stop growing so quickly by age 16. </p> <p>Your orthopaedic doctor will monitor you closely and will determine through X-rays and height measurements when you have finished growing. </p> <h2>Getting a spinal orthosis</h2> <p>Your family doctor or paediatrician has referred you to the Orthopaedic Clinic. You will need to make several visits to the clinic. </p> <ul> <li>At your first visit, you will be seen by a nurse, a physiotherapist and an orthopaedic doctor to assess your spine. An X-ray may be taken at this time. </li> <li>If a spinal orthosis is needed, you will be seen by a certified orthotist. An orthotist is a person who has been trained in making, fitting and assessing spinal and other orthoses. Your first visit with your orthotist may be on the same day as your clinic appointment, or it may be scheduled many weeks later. At this first visit, the orthotist will take many measurements and will take a cast of your body in order to make your custom spinal orthosis.</li> <li>A month later, you will see your orthotist again to fit the spinal orthosis. </li> <li>A month after the orthosis is fitted, you will see your orthotist again to have an X-ray taken while you wear your spinal orthosis. Any final adjustments will be made. The X-ray should show that the curve in your spine is straighter while wearing the orthosis. </li> <li>After that, you will be seen by your scoliosis care team every four to six months, or sooner if needed. Your scoliosis care team will include the doctor, the physiotherapist and the certified orthotist. </li> </ul><h2>What happens at the first visit</h2> <p>Your first appointment with your orthotist takes about an hour. Your orthotist will spend some time giving you information about spinal orthoses and answering your questions. You will then be given two long body stockings to wear for the assessment and casting part of the visit. </p> <p>Your orthotist will examine you, ask you some questions, and then measure your body with a cloth measuring tape and calipers, which is a type of ruler. After that, you will be asked to lie on a casting bed while wet plaster of paris bandage is applied to the front of your body. The plaster takes about 10 minutes to set and harden. After that, you lie on your stomach while plaster is applied to your back. After the plaster hardens, the cast is removed by simply lifting it off your body. </p> <p>This process is not painful. You will feel a little cold and some discomfort as the wet plaster is applied to your body. As the plaster hardens, the cast will become quite warm.</p> <p>We recommend that you bring extra undergarments to change into after the casting.</p> <h2>What happens at the fitting appointment</h2> <p>After putting on a body stocking, you will try on your spinal orthosis. Your orthotist will mark the plastic to trim some away. This will happen a few times until the trim lines of your orthosis are right. At this point, the spinal orthosis is finished and is ready for the final fitting, about an hour later. </p> <p>Your orthotist will speak with you and give you written instructions to make sure you know how to use the orthosis, and how to take care of your body and the spinal orthosis.</p> <p>A fitting appointment may take up to three hours. A lot of time is spent waiting while your orthotist is completing work, so please bring something to keep yourself busy during these down times. </p><h2>How wearing a spinal orthosis feels</h2> <p>Your spinal orthosis will be tight and there will be pads pushing on your spine. As you are getting used to wearing your spinal orthosis, you will feel some discomfort from pressure of the pads. This will decrease over time. Many people who have worn both a spinal orthosis and braces on the teeth feel that the adjustment process is similar. </p> <p>You will be wearing foam and plastic, so you will also feel warmer with your orthosis on. You are not expected to be able to wear your orthosis full-time at first. Over the course of a month, you will slowly increase your wear-time until you are comfortable wearing the spinal orthosis full-time. </p> <p>You will need to wear an <a href="/Article?contentid=1119&language=English">undershirt under the orthosis</a>.</p> <h3>Playing sports</h3> <p>You can still play sports with a spinal orthosis. In fact, it is a good idea for you to be physically active every day. Although the orthosis restricts some movement in your body, there are some sports and activities that can be done with your orthosis on. Activities that require you to correct your balance quickly, or that need increased flexibility or increased air intake, must be done with the orthosis off. These activities include skating, snowboarding, skiing, horseback riding, gymnastics, dancing and soccer. </p> <p>Please ask your orthopaedic doctor or your orthotist about any activity or sports restrictions.</p> <h2>Colours of spinal orthoses</h2> <p>The spinal orthosis comes in either a peachy colour or black.</p> <h2>How long your spinal orthosis will last</h2> <p>On average, your orthosis needs to be changed every year as you grow.</p><h2>At SickKids</h2> <p>As well as the basic colours of the orthosis, there are other optional designs, cartoon characters and sports logos that are available for a small extra fee. </p> <p>All proceeds from orthotic treatment at The Centre for Orthotics go to support patient care and research at SickKids. For more information, please see <a target="_blank" href="http://www.centrefororthotics.ca/">www.centrefororthotics.ca</a>. </p>https://assets.aboutkidshealth.ca/akhassets/scoliosis_03_MED_ILL_EN.jpgScoliosis: Treatment with a spinal orthosis (spinal brace)

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