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Scoliosis Brace: What You Need to Know
A scoliosis brace is a medical device used in children and adolescents with scoliosis. It helps slow or completely stop the sideways curve in your spine from getting worse.
Scoliosis is a condition that causes an abnormal curve in your spine.
A scoliosis brace is a device worn around the torso that can help prevent the curve from getting worse. It can also make it less likely that you’ll need surgery in the future after bone growth has stopped.
A brace is the only available treatment that can potentially slow progression of the curve in a child or adolescent whose bones are still growing. It doesn’t work after bone growth has stopped.
A scoliosis brace is designed to slow or stop progression of the spinal curvature caused by scoliosis.
Rigid braces put pressure on your spine in several places to help prevent it from curving more than it already has. Dynamic braces slow curve progression by retraining your body into maintaining a corrective posture.
Both types of braces may slow progression enough to remove the need for surgery, but they can’t completely or permanently straighten your spine.
A brace that goes from your thoracic spine (upper back) to your sacral spine (buttocks) is called a thoracic-lumbar-sacral orthosis (TLSO). It covers your body from your armpits to your hips. It’s the most common style of brace.
A brace that goes from your cervical spine (neck) to your sacral spine is called a cervical-thoracic-lumbar-sacral orthosis (CTLSO). It braces your spine from your neck to your hips.
Some braces are worn full-time; others are worn only while you’re sleeping (nighttime).
Braces have been used to treat scoliosis for over 450 years, but there are still questions about their effectiveness.
Braces can only slow or stop the progression of a spinal curve. They can’t get rid of the curve or straighten out the spine.
According to the American Association of Neurological Surgeons (AANS), they’re effective in around 80 percent of people treated with them.
A brace won’t work if it isn’t worn correctly or for the recommended amount of time. For maximum effectiveness:
Understand that dynamic braces may not be as effective as rigid ones.
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Scoliosis is a condition that causes your spine to curve too much to the left or right side of your body.
Abnormal curvature of the spine can lead to:
According to the AANS, an identifiable cause is found in only 20 percent of people with scoliosis. The remaining cases are idiopathic, meaning the cause is unknown.
The most common identifiable causes are:
Tools used to diagnose scoliosis include:
Severity of the condition is determined by measuring how many degrees out of alignment the spine is.
How your scoliosis is managed depends on:
For significant scoliosis, bracing is the only treatment option until your bones have stopped growing. If you have mild scoliosis or your bones have matured, there are other treatment options.
If your curve is mild, your doctor might decide to watch and see what happens over time rather than treat it. If the curve starts to get worse, treatment might be recommended.
How your doctor follows your scoliosis depends on your age.
Usually children see their doctor every 4 to 6 months until they’re out of their teens. Unless things are getting worse, adults with scoliosis are usually followed with an X-ray every 5 years.
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Braces can only slow progression of scoliosis. Surgery can potentially fix the curve in addition to stopping it from getting worse.
Surgery recommendations are based on:
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Surgery is recommended when:
In most cases, surgery involves fusing spinal segments (vertebrae) together after straightening the spine with solid metal rods.
Adults who have spinal stenosis undergo a procedure called decompressive laminectomy. It creates more room for nerve roots to move through narrowed (stenosed) vertebrae.
Whether or not you need to wear a brace after surgery depends on the surgical technique used.
Bracing can be effective for slowing or halting progression of your spinal curve when you have scoliosis.
It can’t completely or permanently straighten your spine. It can only be used if the curve is moderate in size and while your bones are still growing.
For maximum effectiveness, your brace must be worn for the number of hours per day your doctor recommends. Braces are worn until your bones stop growing.
In an adolescent, this is usually 3 or 4 years. When scoliosis is diagnosed in childhood, a brace may need to be worn for an extended period of time, usually years.
A scoliosis brace can help slow or stop curvature progression of your spine. It’s only effective when the curvature is moderate and while your bones are still growing.
Following your doctor’s recommendations regarding when and how long to wear a brace is critical for it to be effective.
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