D.B.S. - Treatment of Idiopathic Scoliosis
The D.B.S. (Dynamic Brace System) is a patented system used for the treatment of idiopathic juvenile, adolescent, and adult scoliosis.
Spinal curvature should not be diagnosed as scoliosis unless the curvature exceeds 10 degrees. Only curves greater than 10 degrees with structured changes including rotation should be diagnosed as idiopathic scoliosis. The curve progression should be considered only with a minimum increase of 5 degrees on two sequential X-rays.
Initially, the treatment with the D.B.S. is the same as with the Vertetrac.
In patients with curvatures of less than 20 degrees, we apply the D.B.S. treatment only when the patient suffers from continued lower-back pain. The treatment is recommended for 30 minutes once a day until the elimination of the pain (about 15 to 20 treatments).
In patients with curvatures of 20 to 30 degrees, treatment varies depending on whether the patient is juvenile or adult. For juvenile patients who have no pain or other complaints, it is recommended to apply the D.B.S. treatment 2-3 times daily until maturity of the spine is reached. For these curves in children who do report pain, it is recommended to apply the D.B.S. treatment 3 times daily until the child reports no pain or until maturity of the spine is reached. For adults who report pain, it is recommended to apply the D.B.S. treatment once a day, and continue to receive treatments for 2-3 years to prevent regression. Adults who do not report pain but have a tendency for progression should receive the D.B.S. treatment for 30 minutes, 2-3 times daily until maturity is reached and the patient remains under control for 2-3 years.
In patients with curvatures of 30 to 40 degrees, D.B.S. treatment should begin immediately, 3 times daily for 30 minutes until maturity of the spine is reached. Patients should continue to receive treatment 1-2 times daily for an additional 6 months, and once a day for 2-3 additional years.
In patients with curvatures above 40 degrees, D.B.S. treatment should not be used. It is recommended to undergo surgery.
In all cases, X-rays should be taken every 3 months to monitor the progress of the treatment. If progression of the curve greater than 5 degrees is discovered at any time, the patient should immediately begin to receive 3 daily treatments of 30 minutes each for 3 months. At the end of this time, another X-ray should be taken, and if progression of the curve greater than 5 degrees is discovered again, the administering medical professional should immediately re-evaluate the case.