My 14 yr old son diagnosed Scheuermann's - will the brace work?

Posted , 6 users are following.

My boy has 68 degree curve doctor says is progressive. Have had 2 sets x-rays done so far - about a month ago and originally when diagnosed 6 months ago by Chiropractor - 2 GP's missed it. His pain is progressing considerably lately - so far Iduprofin works. We are told he still has 2-3 yrs growing time. They are making him a Milwauke brace - he gets it in 2 weeks.  Does anyone have experience with the brace? Will wearing it provide some immediate pain relief? If he faithfully wears it will it work? Will the correction be permanent if he can follow thru wearing it till finished growing?

This is so much to ask from a 14 yr old really active, competitive soccer playing kid. He says he's gonna do it - says he's committed to fixing this while we can. He's played piano for 8 yrs (jazz/blues) but can no longer sit comfortably to play and so doesn't much anymore.  I wonder if surgery isn't a more sure quicker fix to get back to "normal" life but the risks terrify me. Also pretty sure his doctors won't consider it till we do the brace 1st and I he's worse with more like 75-80 degrees before they will do it. We are in Canada and enjoy a well supported health plan but perhaps have less say/options available.

Hoping to find people here with experience with this brace - good-bad-all! or any comments about using up the 2-3 yrs of growth time trying the brace vs finding a way to get the surgery done sooner than later.

Thank you in advance for sharing your time & experience. 

0 likes, 10 replies

10 Replies

  • Posted

    Hi Catheine, Sorry to hear about your son. I was diagnosed with idiopathic scoliosis at 14. Not the same but the treatment is similar. I was in  a plaste cast for 3months from my neck down to the tops of my legs with a hole in the middle to let my stomach expand and contact. After it was removed I was braced. Again it was from the neck down. I was bullied terribly at school and after a year I could not cope mentally and gave up on it. There was no improvement. I then slid off the consultants list so to speak and was left. I saw my GP many times over the years saying I was getting worse. It was ignored. I trapped a nerve in my neck and that started the ball rolling again. I was operated on last Feb,at the age of 57 and  so nearly a year on. I have two rods and 17 screws. My top curve had progressed to 71degrees,lower 48. The brace is a big commmitment and like your son I was sporty and into ballet. The operation is big so do not think of it as a quick fix. I have been told it is a 2 year recovery. I have just started to do light sport, swimming, core ballet moves and general core exercises. If you are brave enough have a look on you tube at the operation that is what I did. You have to decide if your son has the commitment of the brace and ask yourself does it really work. My consultant told me they do not brave people anymore and it has proven it does not work. He heads up the Spinal Unit at Stoke Mandevile Hospital in the Uk. It is world famous for its spinal unit. As he is still growing he could have the operation done now. I understand you being terrified as we all know the consequences of the dangers of this operation, but think how many people have had it done and move on to a more positive and happier life. You need to talk to your son about the options and speak frankly to your doctor. Make sure they have valid resons to not want to operate yet and not just because they prefer to brace. As mine was left the middle section of my spine stiffened so they couldonly correct my to 38degrees, so bear this in mind to. The first 5 weeks post surgery are the toughest, although they get you up walking almost the next day following surgery. I now feel great and the difference is incredible. Never going to be straight but the operation was worth it. I think your gut instict will tell you what is best for your son. Best Wishes with your decision. Oh by the way 40/50degrees would be considered operable in the UK. 
  • Posted

    Im 18 an three months post op drom my shermans deases spinal fuaion surgery. My curve was 85 but like your son it was progreasive. My surgon told me the brace would not fix the curve but stop it fetting worse, he also told me i would have to wear it about 20 houres aday and i am i kickboxer so he told me there would be no point unless i stop training. Im 3 months after surgery now an feeling fine have a curve of 20 (well in normal range) and have been swimming an running.

    Personly i think the brace would be a wast of time if its not going to get rid of the curve.

    Best of luck hope this helped

    • Posted

      Thank you Anthony - let us know how it goes for you - we may be looking at the same surgery in a couple years if this brace doesn't work like they hope and expect. Take care with your healing you got many years and a long road ahead for the kick boxing.My kid just plays soccer which is generally pretty low-impact except he's the goalie and it constantly throwing himself the ground (we play indoors for 8 months of the year and the indoor turf is hard!). He also plays out (defence), might be safer from here on...
  • Posted

    I was not diagnosed as having Scheuermann's kyphosis until late in life, so I cannot help with the brace.

    common sense gives me doubt. As you know, the cause is that the upper face of each affected vertebra is 'wedged' so my layman's guess is that it will impose strain without straightening.

    however, you must ask the doctors. I imagine they would not do it if it will not achieve some benefit.

    • Posted

      Thanks for the reply - the theroy is because he still has growth then the vertebrae have the chance to finish growing in a more balanced environment and that the shape can improve now they have room to do it as well as being in much better alignment before and while the bones harden off after he's done growing.

      For the short term hoping it takes enough pressure off to quit the pain. Even if it improved him back to before he had pain (50-55%) would be great but also important the solution last long term.

      We're very lucky to have caught this while he's young and to have access to help and support.

      Thank you.

  • Posted

    It's unclear to me whether you've been seen by a deformity specialist (orthopaedic or neuro surgeon).  If you haven't please do so.  They're the one's who can tell you whether bracing is a good option for your son.  The anecdotal evidence you'll get here may not even apply in your son's case.
    • Posted

      We have been to the scholiosis dept at the Edmonton Stollery Childrens Hospital which is a world famous fabulous hospital. The brace is their recommendation over surgery. We're told he's the perfect candidate. We are expecting positive results but also want the most "permanent" correction available while balancing the risks of surgery and growith-time window for either treatment approach. Don't want him to have to go thru 3 yrs of brace just to end up needing surgery anyway a few years later.

      From what I've read in other countries (UK, US) he would be recommended for surgery automatically.

  • Posted

    Hi Catherine,

    This is a tough one.I had to have metal rods put on my spine and had a 56 degree curve(S shaped)-I was an active gymnast,and when this happened, that went away forever.I then had to wear a brace for 6 months, and the brace wasn't too bad.

    My concern for your son is that is a pretty signifant curve.My other concern is that he is in pain. At 56 degrees, I never had any pain.This makes me think he has a lower back issue, and at his age,something doesn't make sense.

    I tried looking this up online for you, and it's half of people who say braces don't work, the other half who say you rarely need surgery,but that's starting at a 44 degree curve.

    Now, with that said, I have had rods for 27 years, and eventually, because of scoliosis,they won't do any good, and I hurt,but people my age hurt with no back problems such as this.But, rods have a failure rate which is quite scary, even more so after you have had them in for a while.The info I've gotten from doctors,would blow you away.Now, scoliosis is a progresive disease, and never stops.I don't know if that is the same for your sons illness.

    I think this is a situation where you are going to have to go with the flow.If he's 14, then doing the brace will give you more of an idea as to if this will work for him.I would give it 6 months and then re evaluate.

    If you have the finances, come here to the U.S.and I'll even welcome you into my home, no charge.I get a bit nervous when I hear Canada Health care,so whatever I can do, I'm here for him, and you! 

    He sounds like a tough cookie, and so do you.These things are never cut and dry,and there is never a perfect decision,but once he goes under the knife, there is no turning back.To get rods taken out, increases your risk of major problems by a huge amount.

    Just trust in god that he will give you the answers when the time is right,and trust in yourself, and your son, that you will both know what's needed as time progresses.You wil be in my heart, and prayers.

    • Posted

      Thank you Betty and thank you so much for your very kind and genereous reply. It is really good to have somewhere to discuss this with understanding experienced other people. We expect the brace to work...but want to ready with fairly rush plan B if it doesn't. Determined not to miss the growth window.

      One day, one prayer at a time and expect the best. I have already considered going to the US for treatment (my brother & family live in Houston) but short of selling my house (already got a big morgage) that ain't gonna happen. We do have excellent health care working with him here just more conservative approach I think. 

      We got some time for this brace to work some magic so here's hoping...

    • Posted

      Hi Catherine,

      Sorry no response in so many days-Busy schedule-If I had 2 more arms, and legs, and one more brain, I could really do something!

      You seem like a fantastic mother, and my only suggestion, if you need to come here,is to rent your house out.No selling, no abandonment.Rent it out-You lose nothing this way, unless your tenants trash your house, but something tells me you have a discerning taste.

      Once more,if you and your family need somewhere to go,as we have the best hospital here, I will always extend an invitation.

      Prayers for the brace,and bless you for being an amazing parent.

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