The male patient had been referred to the ScoliCare clinic at the age of seven with a previous diagnosis of juvenile idiopathic scoliosis. The patient had been fitted with a traditional 3-point pressure thoraco-lumbo-sacral orthosis (TLSO) that had been designed by a hospital orthotist.
The patient reported that he regularly participated in rugby, soccer and swimming. Aside from the spinal deformity, the patient was otherwise healthy. On examination a right thoracic curve and a left lumbar curve were noted.
The patient had brought along x-rays that had been taken at the time of the initial diagnosis as well as x-rays taken soon after the brace fitting (Figure 1).
The initial pre-brace x-rays revealed that the patient’s primary thoracic curve was 32° Cobb and the secondary lumbar curve was 27° Cobb. An examination of the in-brace x-rays for the hospital made TLSO demonstrated that an adequate in-brace correction had not been achieved with only an 11° reduction in the thoracic curve and no measurable change in the magnitude of the lumbar curve (Figure 1).