Article

Adolescent idiopathic scoliosis: natural history and prognosis.

Children's Research Centre & Orthopaedic Department, Our Lady's Hospital for Sick Children, Crumlin. Dublin 12. Ireland.
Studies in health technology and informatics 02/2002; 91:59-63.
Source: PubMed

ABSTRACT Retrospective review of the scoliosis database showed adolescent idiopathic scoliosis to be the most common but least significant variety of spinal deformity. Data from 112 girls diagnosed on repeat screening showed the importance of menarche as a date in the natural history. In the whole database, there were 514 aged at least 15 years at last review, 45 boys and 469 girls. Braces were prescribed for a total of 38, mostly during the early part of the period and gradually abandoned without an increase in surgical rate. Progression depended on the age and maturity of the patient as well as the initial Cobb angle. Surgery was recommended for 27% overall. A sub-group with more complete data diagnosed after bracing had been discontinued confirmed the findings.

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    Article: Physical therapy intervention studies on idiopathic scoliosis-review with the focus on inclusion criteria1.
    Hans-Rudolf Weiss
    [show abstract] [hide abstract]
    ABSTRACT: Studies investigating the outcome of conservative scoliosis treatment differ widely with respect to the inclusion criteria used. This study has been performed to investigate the possibility to find useful inclusion criteria for future prospective studies on physiotherapy (PT). A PubMed search for outcome papers on PT was performed in order to detect study designs and inclusion criteria used. Real outcome papers (start of treatment in immature samples/end results after the end of growth; controlled studies in adults with scoliosis with a follow-up of more than 5 years) have not been found. Some papers investigated mid-term effects of exercises, most were retrospective, few prospective and many included patient samples with questionable treatment indications. There is no outcome paper on PT in scoliosis with a patient sample at risk for being progressive in adults or in adolescents followed from premenarchial status until skeletal maturity. However, papers on bracing are more frequently found and bracing can be regarded as evidence-based in the conservative management and rehabilitation of idiopathic scoliosis in adolescents.
    Scoliosis 01/2012; 7(1):4. · 1.31 Impact Factor
Data provided are for informational purposes only. Although carefully collected, accuracy cannot be guaranteed. The impact factor represents a rough estimation of the journal's impact factor and does not reflect the actual current impact factor. Publisher conditions are provided by RoMEO. Differing provisions from the publisher's actual policy or licence agreement may be applicable.

Keywords

adolescent idiopathic scoliosis
 
Braces
 
natural history
 
repeat screening
 
Retrospective review
 
spinal deformity
 
surgical rate
 
whole database
 

C J Goldberg