A paper on the correction of spinal deformities with original RSC® corsets was presented at the SOSORT Conference 2008 in Athens (1).

Results

One patient group (n = 147) was divided into two subgroups.

The aim was to determine the average correction value of the main curvatures with an Ortholutions Original RSC® brace, taking into account the following parameters: mean main angle of curvature, number of male patients, distribution to the curvature types according to Rigo, percentage of overcorrections, number of corset restorations before, the proportion of Cobb angle> 50 °, average major curvature correction, the proportion of patients between 15 and 16 years, and the average age.

In the first subgroup, patients with a Cobb angle> 50 ° were not considered. For the second subgroup, patients were selected according to the guidelines of, (7) SOSORT Ristrictive Criterias (RC).

Ristrictive Criteria: Gender: female, age: minimum ten years, Current clinical signs of puberty: at least S2 or P2 according to the Tanner Scala, diagnosis: idiopathic scoliosis, Cobb angle: at least 25 degrees, max. 35 degrees, Risser: 0

An average major angle of curvature of 36.52% was found for male patients of 11.56% in the whole group. The correction of the same fraud was 47.39% whereby 65.99% of the subjects were previously treated with orthoses and 19.05% of the main group had a Cobb angle> 50 °. Over-corrections were achieved at 5.44%. The average age was 12.97 years, with 25.85% of patients aged 15 to 16 years.

42 patients had been identified in the group with a Cobb angle <50 °. Here, a mean curvature of 30.21% was found, the average age was 12.07 years. Correction of major curvatures of 60.26% was achieved, 11.90% was the proportion of confirmed overcorrections. The group between 15 and 16 years was 23.81%. In the evaluation criteria of SOSORT RC many 25 patients with an average angle of major curvature according to Cobb of 26,67%.

For 12% overcorrections, a main curvature correction value of 61.09% was determined. The median age of the patient was 12.32 years.

“The Ortholutions RSC Brace has corrected the major curvatures by more than 60 percent.”

Dino Gallo

Study Rigo et al., 2009

Conclusion

The success in conservative idiopathic scoliosis therapy with trunk orthoses is defined by consistent teamwork and high quality system-made trunk orthoses. Thanks to the competence centers of the Original RSC® care system, patients can now receive safe, documented care at the highest level and uniform standard almost throughout Germany.

The teams and thus the patients are always provided with the latest and most functional models of the system, in which all current scientific findings are recorded.

In view of the fact that in the manufacture of ankle orthoses, the room for interpretation is immense, and as a result often inadequate and even negatively influencing the therapy are delivered to patients, a standardized and systematic care concept is absolutely necessary. Here, on the part of the payers, it is absolutely necessary to check in their own and, above all, in the interest of the patients what requirements are required of manufacturers.

Genuine interdisciplinary cooperation and holistic care concepts are mandatory. For this purpose, a system has been set up which ensures and demands communication and documentation in a straightforward, uncomplicated manner. Of great importance is that before any IS supply must be clearly defined what the realistic goal is. Everyone involved must be aware that successful conservative scoliosis therapy is not only measured at the Cobb angle achieved at corset therapy termination.

It is much more important to ensure that all professionals provide professional education during the whole care phase. Here comes the fact that the original RSC® supply system always includes training teams of doctors, physiotherapists and orthopedic technicians. This is beneficial for the teams, as motivation and ever-evolving expertise is established, as well as for the patients who build trust in the care of the teams.

Frequent changes of doctors and orthopedic technicians can be avoided, as well as possible uncertainty, which can result from a lack of trust and lack of information. In addition, patients are not unsettled by different views of the professionals involved in the therapy. The original RSC® system ensures that all arising questions, different opinions or possible disagreements among the participants in a treatment team are solved interdisciplinary.

There is also a positive side effect for payers: Frequent change of specialists and orthopedic technicians caused by uncertainty and frustration will be missed. As a result, there are fewer new regulations.

As shown, the holistic care system can be systematically responded to all situations that arise at any time via the documented course of treatment.

The extensive documentation of the patient data serves as a control mechanism of the care goals and thus the work of the teams and the entire care concept. The evaluated data of the last six years show a steady development and improvement. At the SOSORT Meeting 2006, Poznan, Dr. Ing. Rigo presented a study (4) clearly showing that the CAD / CAM Ortholutions Original RSC® corsets produced the same results as his hand-modeled corsets.

The result clearly shows how new technologies combined with medical, physiotherapeutic and orthopedic expertise can systematically develop into holistic care strategies. The success of the treatment and the security of supply are ensured by the consistency of the entire package Ortholutions Original RSC® care concept.

Literature

Vertebral deformity corrected by bracing: retrospective selected case series of 10 scoliosis patients treated with a RSC Brace: Manuel Rigo, Monica Villagrasa and Gloria Quera-Salvá E. Salvá Institute. Barcelona, Spain from 5th International Conference on Conservative Management of Spinal Deformities Scoliosis 2009, 4(Suppl 1):O45doi:10.1186/1748-7161-4-S1-O45/ The electronic version of this abstract: http://www.scoliosisjournal.com/content/4/S1/O45 Published: 15 January 2009 © 2009 Rigo et al; licensee BioMed Central Ltd.
Proportion of correction and compliance to determine success in brace treatment: F. Landauer and Th. Hofstädter / Orthopaedic Department, PMU – University of Salzburg, Muellner Hauptstr. 48, 5020 Salzburg, Austria from 4th International Conference on Conservative Management of Spinal Deformities
Boston, MA, USA. 13–16 May 2007/Scoliosis 2007, 2(Suppl 1):S13doi:10.1186/1748-7161-2-S1-S13; The electronic version of this abstract is the complete one and can be found online at: http://www.scoliosisjournal.com/content/2/S1/S13Published:12 October 2007/© 2007 Landauer and Hofstädter; licensee BioMed Central Ltd.
Chancen und Möglichkeiten von CAD/CAM in der Orthopädie- Technik erläutert am Beispiel der RSC Korsett Servicefertigung: Gallo Dino, Ortholutions, Königsseestraße 10, 83022 Rosenheim-Germany Orthopädie- Technik 10 (2005): 704-711/
A series of patients with adolescent idiopathic scoliosis treated with a Rigo System Chêneau (RSC) brace. Primary correction in brace improved by technical evolution: Manuel Rigo E.Salvá Spinal Deformities Rehabilitation Institute, Vía Augusta 185, 08021 Barcelona, Spain from 4th International Conference on Conservative Management of Spinal Deformities; Boston, MA, USA. 13–16 May 2007/Scoliosis 2007, 2(Suppl 1): S11doi:10.1186/1748-7161-2-S1-S11; The electronic version of this abstract is the complete one and can be found online at: http://www.scoliosisjournal.com/content/2/S1/S11Published:12 October 2007/© 2007 Rigo; licensee BioMed Central Ltd.
Indications for conservative management of scoliosis (guidelines): SOSORT guideline committee, Hans-Rudolf Weiss, Stefano Negrini, Manuel Rigo, Tomasz Kotwicki, Martha C. Hawes, Theodoros B. Grivas, Toru Maruyama, Franz Landauer / Scoliosis 2006
Scoliosis Intensive Out- Patient Rehabilitation Based on Schroth Method: Manuel Rigo, Gloria Quera-Salvá, Monica Villagrasa, Marta Ferrer, Anna Casas, Clara Corbella, Amaia Urrutia, Sonia Martinez, Nuria Puigdevall E.Salvá Spinal Deformities Rehabilitation Institute, Vía Augusta 185, 08021 Barcelona, Spain
SOSORT / Society On Spinal Orthopaedic and Rehabilitation Treatment: www.sosort.org
The Conservative Scoliosis Treatment: 1st SOSORT Instructional Lectures Book/ISBN 978-1-58603-842-7