This interview is for educational purposes and covers information provided by Pr. Aurélien Courvoisier regarding his opinions on Scoliosis Bracing. This video is not an endorsement. Viewers should consult their physicians and treating team accordingly. See highlights via timestamps below.

00:00 Chapters
00:47 Career path to spine surgeon.
3:36 PhD research gave Dr. Courvoisier an appreciation of how scoliosis works which shaped his preference for bracing and vertebral body tethering vs fusion surgery.
7:05 Scoliosis is just a symptom of a bigger disease.
7:54 Acting very early in the evolution of scoliosis is critical.
9:02 Easier to treat small scoliosis curves.
10:19 Dr. Courvoisier's minimum scoliosis bracing parameters.
11:12 Early bracing starts with a night time brace. Better brace compliance.
12:21 Scoliosis bracing during adolescent growth spurt.
12:42 Full time "Out of School" bracing.
13:24 Double bracing.
14:05 In brace x-rays are 1-1.5 months after fitting.
15:22 French Cheneau Asymmetric Brace.
15:57 Out of School bracing and high compliance.
19:04 Early brace intervention = less restrictions.
19:27 Objective all treatment is avoid fusion.
19:40 Scoliosis treatment approach.
19:49 Importance of scoliosis screening.
20:13 Predictive factors of scoliosis progression.
20:43 Can predictive if a curve will be progressing at 1st x-ray.
22:15 Natural evolution of scoliosis.
23:04 Scoliosis is a genetic program with the severity already determined.
23:49 Because the severity of a curve is genetically written, physiotherapy will not work.
24:28 Very important for surgeons to identify eventual severity of curves early.
25:09 Predictive factors of curve progression.
26:27 Axial rotation of the spine drives curve progression.
26:53 EOS x-ray system. Low dose and a French invention.
27:40 Combination of 3D parameters helps determine curve progression at an early stage.
28:16 Selection of eligible patients for early bracing.
28:27 The sooner the better for brace treatment.
29:35 Early treatment of small flexible curves gives good in brace correction.
31:31 Good in brace correction leads to good spinal growth modulation.
32:36 Bracing 'stabilizes' progression of the curve.
34:30 But, 15-20% of cases show curve reduction.
35:48 Cheneau style brace.
36:57 Importance of in-brace x-rays.
37:08 Treatment is adapted to the patient.
37:50 Short brace for lumbar curve & Long brace for thoracic/double curves.
39:26 Outcome of Nighttime Bracing.
40:19 Brace Simulator - In brace correction prediction.
44:31 Movement in the brace?
45:36 Evaluation of the spine with motion capture.
46:28 Comparing motion capture between healthy and AIS patients.
47:55 Connected T-shirt to evaluate movement at home for postural control.
49:08 Key points!
49:33 Future of bracing?

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