LOGO 2013 3   


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Conservative treatment is the non-surgical treatment of Scoliosis. Up to the present time, it is stated as a method of retaining the aggravation of Scoliosis in international bibliography. As it will be shown below, this is not true.

In conservative treatment, the corrective brace plays the main role, and the special exercises for scoliosis have a complementary role.

The truth is that until recent years, braces used for the treatment of Scoliosis were insufficient and they did not aim at a three-dimensional correction of Scoliosis, but treated it as a two-dimensional condition. Their construction is empirical and it depends on the experience of the technician.





Only Dr. Cheneau, in the mid-1970s, began to understand the need for three-dimensional correction, thus creating pairs of opposing pressures and reliefs.






Unfortunately, orthopedics, especially Anglo-Saxons, insisted on the use of the insufficient Boston brace, so in the early 1990s brought complete disappointment in the minimal corrections that this brace could offer to the "natural history of scoliosis", and so they turned almost exclusively towards surgical treatment with spinal fusion.





At the Athens Accident Hospital KAT in Greece, in early 1980, Dr. D. Antoniou designed a variation of the Boston brace that he named DDB (Dynamic Derotation Brace); with the use of aluminum rods and plates, he tried to neuter rotation, which Boston could not.

The results were satisfactory as far as x-ray correction was concerned, but it could not move away from this very principle, that is the correction of the x-ray and not the human body.



This is the reason why in the best case this brace as well insists on retaining the Scoliosis and not at a partial at least correction, after removal.





The attempt to symmetrically compress, as with Boston and Boston-type (DDB etc.) braces, may temporarily create a correction in sideways movement, but with time it creates problems in the symmetry in 3 dimensions; problems such as the hollow back phenomenon.





In the last years in Europe, following the disappointing results of surgery, an effort has begun from some colleagues to understand the behavior of scoliosis and the intervention to its symptoms.