Guidelines for Use
Single curves are the easiest curves to treat with side bending because inadvertently increasing a secondary curve through bracing is not a concern. The single curve can be aggressively reduced in the CBB. Patients with single curves are considered the best candidates for treatment with the greatest likelihood of positive outcomes.
Treating double curves with the CBB is considered an advanced technique. Double curves respond well when treated correctly but a high level of expertise and care are required in the measuring and fitting processes. It is important to designate the primary and secondary curves beforehand when bracing double curves in the CBB. The primary curve is always the curve that indicates the direction to bend the patient. Curvatures of 25 degrees to 40 degrees fall within standard orthotic treatment guidelines. There are no contraindications recognized for treating curves outside these parameters due to the high level of patient acceptance of the CBB program and many documented successful courses. Concurrently, standard orthotic management of scoliosis calls for treatment of only skeletally immature curves. Some skeletally mature patients have benefited from CBB treatment. This is also reflected in the reporting. |