Conservative management of idiopathic scoliosis Guidelines based on SOSORT 2006 Consensus Tomasz Kotwicki , Jacek Durmała , Dariusz Czaprowski , Maciej Głowacki , Maciej Kołban , Sławomir Snela , Zbigniew Śliwiński , Ireneusz M. Kowalski Ortop Traumatol Rehabil 2009; 11(5):379-395 ICID: 898075
Article type: Review article
IC™ Value: 6.02
Abstract provided by Publisher
Background. Idiopathic scoliosis, defined as a lateral curvature of the spine of above 10° (Cobb angle), is seen in 2-3% of the growing age population, while curves above 20°, requiring conservative treatment, are found in 0.3-0.5%. In our observation, both under-treatment of progressive curves and over-treatment of stable cases are common during conservative management of scoliosis.Material and methods. A model of therapeutic management is presented based on the experience of Polish clinicians specialising in the treatment of scoliosis as well as the effects of work of a panel of experts of SOSORT (Society on Scoliosis Orthopaedic and Rehabilitation Treatment). The model comprises the indications for conservative treatment according to age, curve type and size and Risser grading. The aetiology, classifications, usefulness of the Lonstein and Carlson factor of progression and other methods of determining the probability of scoliosis progression, as well as the psychological aspects of conservative management are presented. Results. Based on the knowledge of the natural history of idiopathic scoliosis, factors of progression and on the SOSORT experts’ opinion, guidelines are proposed for clinicians treating children and adolescents with idiopathic scoliosis, including the timing and course of brace treatment and the types of exercises.Conclusions. Uniform practical guidelines developed by experts may represent an essential step towards establishing standards of conservative scoliosis care in our country.
ICID 898075 PMID 19920281 - click here to show this article in PubMed