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Idiopathic scoliosis is a neurological condition primarily creating an early shift in postural presentation. The most common early stage/ mild scoliosis pattern is the head translating left of center gravity creating either a right mid neck or a right upper neck anglelation. The second shift is a pelvic translation to the right creating a left angle between the lumbar and sacrum with or without compensatory tilt often referred to as a forward right pelvis. The combination of a moderate to high genetic score using scoliscore will combine with these initial biomechanical factors creating a cascade of events often leading to the formation and progression of a scoliosis spine. Since the genetic push involves the sensory integration system that being the ability of the body to coordinate afferent and efferent messaging, the biomechanical factors must be stabilized early to avoid a catastrophic event as growth occurs. The sagital presentation in early stage scoliosis often involves anterior head translation, loss of cervical lordosis (the normal forward curve in the neck), and increased sacral inclination leading to thoracic extension. Once asymetrical loading has occurred in this early stage the growth plate undergoes an abnormal histological change which in turn elevates blood levels of osteopontin a cytokine found in AIS blood panels to be elevated.

 

Since the spinecor scoliosis brace is ONLY recommended for idipathic scoliosis patients with curves less than 30 degrees we feel the need for bracing in combination with our protocols is unsubstantiated. Since the primary goal of the chiropractor is to decrease the biomechanical and neurological factors contributing to the dis-ease of the scoliotic patient we feel the reduction of head and pelvic translation in combination with improving sagital spine profiles is much better achieved using CLEAR methodology than with passive forced correction. Although spinecor statistically has demonstrated that with curvature under 30 degrees it can hold a moderate reduction after 2 years in approximately 50% of patients, we feel that a less invasive chiropractic approach can match this percentage and potentially outperform the spinecor scoliosis brace.

 

It is CLEAR Institutes sole purpose to find a better way of treating scoliosis without the use of spinal braces and certainly without the use of surgical intervention. Preliminary findings from certified doctors performing CLEAR protocols on early stage cases has been very promising and we are certain that our program can stand alone and make a positive impact on the way in which scoliosis is treated into the future.

 

Brian T Dovorany DC