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Re: Second Opinion...To cast or is it a Resolving curve????

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I know from other posts that some children do get improvements in braces, even those that go into a brace after casting. SLC is one of the very best in this field, so I would go with their recommendation and your gut feeling on it.

Good luck!

Second Opinion...To cast or is it a Resolving curve????

I wrote last week about my almost 4 year old son Connor who has had a scoliosis with a curve that has ranged from 19 to 24 to 10 and back to 22 in a less than 2 years. We had a second opinion given to us today by Shriners SLC. The doctor feels that Connor doesn't need a cast at this time but that we probably need to do something. To my surprise, he thinks we should do a TLSO Brace. I thought that a brace could only hold a child's curve until it was removed and then the curve would increase again??? They said that in children with lower curves it can work similar to a cast if it is well sitting. HMMM.... Does anyone have any experience with this working?They also told me at this point that I could stay with our doctor in Denver and have him do the brace or I can turn in my paperwork ASAP to have them do it there. (They do come to Denver but she said it would take forever for me to get in there.) Lots of decisions. I would appreciate anyone's input. Thanks! (Mom of Connor (3), infantile scoliosis, tethered cord released 9/02)

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,

I just posted today about my son and I remembered your post about your son's curve going down and back up again and when we were given this information I thought of your post. Just wondering a few things...what positioning was used for the x rays? I went back through my memory and Jack was supine in all the xrays except one. Just wondering if that gave you the increase and decrease and then increase or are they all the same position. I don't even know if this makes a difference, just thinking about it. I was sharing with another mom that emailed me that I thought about asking whether or not a brace could be used before the cast, but I didn't ask. What is your son's RVAD? Because the curve numbers are similar to my son's...20, 17, 23.5, 30 within 6 months. But your son's measurements have been over 2 years?? Hang in. I hope someone posts that can help with your situation. I don't

even know what TLSO brace is? Maybe you can share. ~krista

Subject: Second Opinion...To cast or is it a Resolving curve????To: infantile_scoliosis Date: Friday, August 29, 2008, 11:33 PM

I wrote last week about my almost 4 year old son Connor who has had a scoliosis with a curve that has ranged from 19 to 24 to 10 and back to 22 in a less than 2 years. We had a second opinion given to us today by Shriners SLC. The doctor feels that Connor doesn't need a cast at this time but that we probably need to do something. To my surprise, he thinks we should do a TLSO Brace. I thought that a brace could only hold a child's curve until it was removed and then the curve would increase again??? They said that in children with lower curves it can work similar to a cast if it is well sitting. HMMM.... Does anyone have any experience with this working?They also told me at this point that I could stay with our doctor in Denver and have him do the brace or I can turn in my paperwork ASAP to have them do it there. (They do come to Denver but she said it would take forever for me to get in there.)

Lots of decisions. I would appreciate anyone's input. Thanks! (Mom of Connor (3), infantile scoliosis, tethered cord released 9/02)

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I have heard, but don't know from personal experience, that they have had some very positive results with bracing at Shriners in Philly PA..... May be worth calling the care coordinator there and compare notes with what your doc is saying.... Just a thought... Steph

Subject: Second Opinion...To cast or is it a Resolving curve????To: infantile_scoliosis Date: Friday, August 29, 2008, 11:33 PM

I wrote last week about my almost 4 year old son Connor who has had a scoliosis with a curve that has ranged from 19 to 24 to 10 and back to 22 in a less than 2 years. We had a second opinion given to us today by Shriners SLC. The doctor feels that Connor doesn't need a cast at this time but that we probably need to do something. To my surprise, he thinks we should do a TLSO Brace. I thought that a brace could only hold a child's curve until it was removed and then the curve would increase again??? They said that in children with lower curves it can work similar to a cast if it is well sitting. HMMM.... Does anyone have any experience with this working?They also told me at this point that I could stay with our doctor in Denver and have him do the brace or I can turn in my paperwork ASAP to have them do it there. (They do come to Denver but she said it would take forever for me to get in there.)

Lots of decisions. I would appreciate anyone's input. Thanks! (Mom of Connor (3), infantile scoliosis, tethered cord released 9/02)

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Hi ,My son, , was in a series of 6 casts over 14 months. started with a 34 degree curve. Casting worked some for him, but after casts 3- 5 his curve basically stayed the same. It was at that point his doctor felt it was time for the brace. Casts just were not doing anymore than they already had for him. went into a brace with a 15 degree curve. That was September of last year. By January of this year his curve had gone down to 8 degrees. Just last month he had another xray. His curve is staying about the same and is now in a brace only at night. We will see in November how his spine is looking. is in a TLSO brace. Bracing does work for some kids. Keep us posted on what you decide.TashaMommy of twin boys- and 3 years

oldFort Worth, Texas is 7.5 degrees and brace free during the day!!!Casting 14 months and bracing 10 months--- On

Fri, 8/29/08, Mohr wrote:Subject: Second Opinion...To cast or is it a Resolving curve????To: infantile_scoliosis Date: Friday, August 29, 2008, 6:33 PM

I wrote last week about my almost 4 year old son Connor who has had a

scoliosis with a curve that has ranged from 19 to 24 to 10 and back to

22 in a less than 2 years. We had a second opinion given to us today

by Shriners SLC. The doctor feels that Connor doesn't need a cast at

this time but that we probably need to do something. To my surprise, he

thinks we should do a TLSO Brace. I thought that a brace could only

hold a child's curve until it was removed and then the curve would

increase again??? They said that in children with lower curves it can

work similar to a cast if it is well sitting. HMMM.... Does anyone have

any experience with this working?

They also told me at this point that I could stay with our doctor in

Denver and have him do the brace or I can turn in my paperwork ASAP to

have them do it there. (They do come to Denver but she said it would

take forever for me to get in there.) Lots of decisions. I would

appreciate anyone's input. Thanks!

(Mom of Connor (3), infantile scoliosis, tethered cord released

9/02)

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Hi :

Our daughter was a wait and see for years. She hovered at 19- shot up to 22 and then to 35 in 3 months. They didn't cast her until she shot to 35 and they didn't brace her either. We were told (and are still told)

that children can live perfectly normal lives with a curve of 25 or under.

Onto the brace. We have had additional correction in the brace after our casts come off. So it's my lay opinion, having seen it, that a well made brace on a " low " curve can correct with growth. So I guess my advice

to you would be to get the brace because even if it doesn't correct it, if he is going to get worse at the very least it may prevent it from getting to out of hand and shorten your casting time. We casted at 5 years old--with hopeful success--I say hopeful

because we have yet to wean from the brace but so far so good!

E

From: infantile_scoliosis [infantile_scoliosis ] On Behalf Of Mohr [lisamohr@...]

Sent: Friday, August 29, 2008 6:33 PM

To: infantile_scoliosis

Subject: Second Opinion...To cast or is it a Resolving curve????

I wrote last week about my almost 4 year old son Connor who has had a

scoliosis with a curve that has ranged from 19 to 24 to 10 and back to

22 in a less than 2 years. We had a second opinion given to us today

by Shriners SLC. The doctor feels that Connor doesn't need a cast at

this time but that we probably need to do something. To my surprise, he

thinks we should do a TLSO Brace. I thought that a brace could only

hold a child's curve until it was removed and then the curve would

increase again??? They said that in children with lower curves it can

work similar to a cast if it is well sitting. HMMM.... Does anyone have

any experience with this working?

They also told me at this point that I could stay with our doctor in

Denver and have him do the brace or I can turn in my paperwork ASAP to

have them do it there. (They do come to Denver but she said it would

take forever for me to get in there.) Lots of decisions. I would

appreciate anyone's input. Thanks!

(Mom of Connor (3), infantile scoliosis, tethered cord released

9/02)

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my son just turned 1 ~ is in a TLSO brace (Thoracic, Lumbar Sacral Orthotic)~ I think this brace is not a specific brace like the others but more a catch all brace for whatever the doctor orders. Therefore I think they can look different. also, I think that some orthotists make the brace by just taking measurements. Other orthotists make them from a cast mold (the child is put under, has a cast made, cast is cut off and a brace is made from that). The latter of the two is suppose to work better. there is a picture of my son in his under the picture section, Luke. My son's brace is 2 pieces~ a front and a back piece connected by velcro. My son went into a brace very unexpectedly (he has had one cast)~ so I am very nervous about him being in it. I was able to hear of some success stories in the brace from other parents (my hospital and another mother connected me). We have been in the brace for 5 weeks and are do for xrays on thursday to see what is going on. I think so much depends on your childs specific curve~ rotation, RVAD, etc. Luke is at 18 degrees out of brace and 13 degrees in brace. His RVAD is between 24-26. He has always had minimal rotation and we have yet to see his curve progress (knock on wood). anyway, I hope this helps~

natalie

Second Opinion...To cast or is it a Resolving curve????

I wrote last week about my almost 4 year old son Connor who has had a

scoliosis with a curve that has ranged from 19 to 24 to 10 and back to

22 in a less than 2 years. We had a second opinion given to us today

by Shriners SLC. The doctor feels that Connor doesn't need a cast at

this time but that we probably need to do something. To my surprise, he

thinks we should do a TLSO Brace. I thought that a brace could only

hold a child's curve until it was removed and then the curve would

increase again??? They said that in children with lower curves it can

work similar to a cast if it is well sitting. HMMM.... Does anyone have

any experience with this working?

They also told me at this point that I could stay with our doctor in

Denver and have him do the brace or I can turn in my paperwork ASAP to

have them do it there. (They do come to Denver but she said it would

take forever for me to get in there.) Lots of decisions. I would

appreciate anyone's input. Thanks!

(Mom of Connor (3), infantile scoliosis, tethered cord released

9/02)

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I tried emailing you privately last week but it came back. Devyn

also goes to Denver Children's. His curve was over 40degrees when we

started May 2007. He had three casts and was down to 10 degrees. He

then went to a TLSO brace and as of August 7th is perfectly straight.

The brace can correct smaller curves and since Conners seems to go

back and forth in degrees I don't think it would hurt to try. If you

would like to talk email me. You can see Devyn's braces under photos

Devyn's 1st cast.

Rochelle mom to Devyn 2 and 3/4yrs Infantile Scoliosis, chiari 1

>

> I wrote last week about my almost 4 year old son Connor who has had

a

> scoliosis with a curve that has ranged from 19 to 24 to 10 and back

to

> 22 in a less than 2 years. We had a second opinion given to us

today

> by Shriners SLC. The doctor feels that Connor doesn't need a cast

at

> this time but that we probably need to do something. To my

surprise, he

> thinks we should do a TLSO Brace. I thought that a brace could only

> hold a child's curve until it was removed and then the curve would

> increase again??? They said that in children with lower curves it

can

> work similar to a cast if it is well sitting. HMMM.... Does anyone

have

> any experience with this working?

>

> They also told me at this point that I could stay with our doctor

in

> Denver and have him do the brace or I can turn in my paperwork ASAP

to

> have them do it there. (They do come to Denver but she said it

would

> take forever for me to get in there.) Lots of decisions. I would

> appreciate anyone's input. Thanks!

>

> (Mom of Connor (3), infantile scoliosis, tethered cord

released

> 9/02)

>

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My biggest concern with these braces is getting the child back out of

them and having them stay with the lower curve. I wish I knew someone

who put their child in a brace and now is totally bracefree for a

while. That is GREAT that is only wearing it at night. I will be

excited to hear the outcome in November. I would be estatic if we

were at that place in a year.

>

> Subject: Second Opinion...To cast or is it a

Resolving curve????

> To: infantile_scoliosis

> Date: Friday, August 29, 2008, 6:33 PM

>

>

>

>

>

>

>

>

>

>

>

> I wrote last week about my almost 4 year old son Connor

who has had a

>

> scoliosis with a curve that has ranged from 19 to 24 to 10 and back

to

>

> 22 in a less than 2 years. We had a second opinion given to us

today

>

> by Shriners SLC. The doctor feels that Connor doesn't need a cast

at

>

> this time but that we probably need to do something. To my

surprise, he

>

> thinks we should do a TLSO Brace. I thought that a brace could only

>

> hold a child's curve until it was removed and then the curve would

>

> increase again??? They said that in children with lower curves it

can

>

> work similar to a cast if it is well sitting. HMMM.... Does anyone

have

>

> any experience with this working?

>

>

>

> They also told me at this point that I could stay with our doctor

in

>

> Denver and have him do the brace or I can turn in my paperwork ASAP

to

>

> have them do it there. (They do come to Denver but she said it

would

>

> take forever for me to get in there.) Lots of decisions. I would

>

> appreciate anyone's input. Thanks!

>

>

>

> (Mom of Connor (3), infantile scoliosis, tethered cord

released

>

> 9/02)

>

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We have always been standing except for the MRI. His arms however

have been in different locations which I was curious about - once

over his head, then out to the sides then down to his hips. Hmpf. We

don't seem to ever talk much about the RVAD but I do know that when

we started at 15 months and 19 degrees it was almost zero. Last year

at 10 degrees they marked in their notes that it was almost zero. At

that time he also told me there was hardly any rotation as well. I

forgot to ask this time. All of the notes say that his Mehta Angle

remains under 20. I guess that is good.

Thanks!

>

>

> Subject: Second Opinion...To cast or is it a

Resolving curve????

> To: infantile_scoliosis

> Date: Friday, August 29, 2008, 11:33 PM

>

>

>

>

>

>

> I wrote last week about my almost 4 year old son Connor who has had

a

> scoliosis with a curve that has ranged from 19 to 24 to 10 and back

to

> 22 in a less than 2 years. We had a second opinion given to us

today

> by Shriners SLC. The doctor feels that Connor doesn't need a cast

at

> this time but that we probably need to do something. To my

surprise, he

> thinks we should do a TLSO Brace. I thought that a brace could only

> hold a child's curve until it was removed and then the curve would

> increase again??? They said that in children with lower curves it

can

> work similar to a cast if it is well sitting. HMMM.... Does anyone

have

> any experience with this working?

>

> They also told me at this point that I could stay with our doctor

in

> Denver and have him do the brace or I can turn in my paperwork ASAP

to

> have them do it there. (They do come to Denver but she said it

would

> take forever for me to get in there.) Lots of decisions. I would

> appreciate anyone's input. Thanks!

>

> (Mom of Connor (3), infantile scoliosis, tethered cord

released

> 9/02)

>

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SLC knows their stuff. I am sure they are taking his age and low curve into consideration.

shellie grant

Subject: Second Opinion...To cast or is it a Resolving curve????To: infantile_scoliosis Date: Friday, August 29, 2008, 6:33 PM

I wrote last week about my almost 4 year old son Connor who has had a scoliosis with a curve that has ranged from 19 to 24 to 10 and back to 22 in a less than 2 years. We had a second opinion given to us today by Shriners SLC. The doctor feels that Connor doesn't need a cast at this time but that we probably need to do something. To my surprise, he thinks we should do a TLSO Brace. I thought that a brace could only hold a child's curve until it was removed and then the curve would increase again??? They said that in children with lower curves it can work similar to a cast if it is well sitting. HMMM.... Does anyone have any experience with this working?They also told me at this point that I could stay with our doctor in Denver and have him do the brace or I can turn in my paperwork ASAP to have them do it there. (They do come to Denver but she said it would take forever for me to get in there.)

Lots of decisions. I would appreciate anyone's input. Thanks! (Mom of Connor (3), infantile scoliosis, tethered cord released 9/02)

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SLC knows their stuff. I am sure they are taking his age and low curve into consideration.

shellie grant

Subject: Second Opinion...To cast or is it a Resolving curve????To: infantile_scoliosis Date: Friday, August 29, 2008, 6:33 PM

I wrote last week about my almost 4 year old son Connor who has had a scoliosis with a curve that has ranged from 19 to 24 to 10 and back to 22 in a less than 2 years. We had a second opinion given to us today by Shriners SLC. The doctor feels that Connor doesn't need a cast at this time but that we probably need to do something. To my surprise, he thinks we should do a TLSO Brace. I thought that a brace could only hold a child's curve until it was removed and then the curve would increase again??? They said that in children with lower curves it can work similar to a cast if it is well sitting. HMMM.... Does anyone have any experience with this working?They also told me at this point that I could stay with our doctor in Denver and have him do the brace or I can turn in my paperwork ASAP to have them do it there. (They do come to Denver but she said it would take forever for me to get in there.)

Lots of decisions. I would appreciate anyone's input. Thanks! (Mom of Connor (3), infantile scoliosis, tethered cord released 9/02)

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Hi

My son Owen also had a tethered cord released (tight filum) and has scoli

secondary to the

tether and low tone. SLC was our 3rd ortho opinion and honestly they are only

group of

drs that i have ever trusted (and we have been to many, many). Despite the fact

that

Owen's curve was high 40s at it's worse they opted not to brace him due to other

medical

issues. He has been in a proper brace made by slc for over 2 years (useless

braces from

other drs for a year before that) Currently his curve is around 12 degrees out

of brace

depending on how he stands and he is down to wearing it 14 hours a day (from

23).

I only read the group emails sporadically (I'm ashamed to say because the long

time moms

pretty much saved owen and I owe this list and soooooo much) but if you

want

any more info about Owen just send me an email with my name in the subject so I

am sure

to see it.

> > From: Mohr <lisamohr@>

> > Subject: Second Opinion...To cast or is it a

> Resolving curve????

> > To: infantile_scoliosis

> > Date: Friday, August 29, 2008, 6:33 PM

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > I wrote last week about my almost 4 year old son Connor

> who has had a

> >

> > scoliosis with a curve that has ranged from 19 to 24 to 10 and back

> to

> >

> > 22 in a less than 2 years. We had a second opinion given to us

> today

> >

> > by Shriners SLC. The doctor feels that Connor doesn't need a cast

> at

> >

> > this time but that we probably need to do something. To my

> surprise, he

> >

> > thinks we should do a TLSO Brace. I thought that a brace could only

> >

> > hold a child's curve until it was removed and then the curve would

> >

> > increase again??? They said that in children with lower curves it

> can

> >

> > work similar to a cast if it is well sitting. HMMM.... Does anyone

> have

> >

> > any experience with this working?

> >

> >

> >

> > They also told me at this point that I could stay with our doctor

> in

> >

> > Denver and have him do the brace or I can turn in my paperwork ASAP

> to

> >

> > have them do it there. (They do come to Denver but she said it

> would

> >

> > take forever for me to get in there.) Lots of decisions. I would

> >

> > appreciate anyone's input. Thanks!

> >

> >

> >

> > (Mom of Connor (3), infantile scoliosis, tethered cord

> released

> >

> > 9/02)

> >

>

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