Current concepts in the diagnosis and management of adolescent idiopathic scoliosis

Addai, Daniel; Zarkos, Jacqueline; Bowey, Andrew

doi:10.1007/s00381-020-04608-4

Cited by 83 publications

(81 citation statements)

References 71 publications

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“…Bracing is considered for curves between 25° and 45° or 20° and 30° that progress more than 5° in 6 months. [ 1 ] Weinstein et al ., in a multicentric study of 242 AIS patients, observed that 72% of patients treated with bracing reached skeletal maturity without ≥50° curve progression versus 48% who were merely observed. [ 10 ] Surgical correction by means of spinal instrumentation with stabilization is considered in skeletally immature patients with curves of >40° or curves with continuous progression and/or if there are both cosmetic and neurologically protective indications.…”

Section: Discussionmentioning

confidence: 99%

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Incidence of radiographic scoliosis in asymptomatic young Pakistani adults

Junaid

Jafri

Bukhari

et al. 2022

Surgical Neurology International

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Background: Adolescent idiopathic scoliosis (AIS) is the most common scoliotic deformity of young adults. Screening of AIS is performed as part of the routine preemployment examination for physically demanding positions. We attempted to establish the incidence of clinically overt scoliosis in an adolescent (16 years old) and young adult (21 years old) population. Methods: We clinically and radiographically (X-rays) evaluated 85 applicants for physically demanding jobs in two age groups: those 16 versus those 21 years of age. Cobb’s angles and kyphosis angles were measured for each group. These data were then categorized into three grades based on radiographically documented scoliotic curvatures. Results: Most 16 years old demonstrated normal Cobb’s angles (90.56%), but kyphosis angles of 20–30° (40.27%). For the 21 years old, most participants had normal Cobb’s angles (93.75%), but exhibited higher than normal kyphosis angles (50%). Conclusion: Most young adults ages 16–21 years applying for physically demanding work were “fit.” However, the incidence of kyphosis was higher among the 21 years old population. Such screening for idiopathic scoliosis should be more stringently performed in younger patients applying for physically demanding work.

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Section: Discussionmentioning

confidence: 99%

“…[ 10 ] Surgical correction by means of spinal instrumentation with stabilization is considered in skeletally immature patients with curves of >40° or curves with continuous progression and/or if there are both cosmetic and neurologically protective indications. [ 1 , 9 ]…”

Section: Discussionmentioning

confidence: 99%

Incidence of radiographic scoliosis in asymptomatic young Pakistani adults

Junaid

Jafri

Bukhari

et al. 2022

Surgical Neurology International

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“…The Charleston brace is employed in patients with a single major curve of 25-35 degrees at an apex below T8 and is only worn for 8-10 h during sleep [47]. Nighttime bracing has been suggested to be more effective in those who have a single, correctable thoracolumbar, or lumbar curve [43].…”

Section: Kinesitherapymentioning

confidence: 99%

Scoliosis: Causes and Treatments

Lee¹,

Priefer²,

Priefer³

2022

Adolescents

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Scoliosis is an abnormal curvature of the spine, which generally develops during childhood or adolescence. It affects 2–4 percent of the global population and is more prevalent among girls. Scoliosis is classified by its etiology: idiopathic, congenital, or neuromuscular. Among these, the former is the most common. Treatment options for scoliosis vary depending on the severity of the curve. Most scoliosis diagnoses tend to be mild and only require monitoring. However, curves between 20 and 40 degrees require bracing, while 40 degrees and above require surgery. There are various bracings available, such as Boston, Charleston, and Milwaukee. In severe cases of scoliosis, either fusion or fusionless surgery may be required. This review aims to discuss etiologies and different treatment interventions for scoliosis.

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“…The brace, worn for a minimum of 18 h a day, would seem to provide good scientific evidence; furthermore, manual therapy models, such as myofascial release or spinal manipulation, might be potentially convincing in treating AIS when integrated with other conservative therapies [ 11 ]. Regardless, for subjects with angles greater than 40°, the surgical option should be considered [ 12 ]. Although spinal fusion is the traditional approach, one of the most used today, there is a recent perspective that consists of anchoring the vertebral body as a new technique to provide these adolescents with their range of motion, and therefore, a higher HRQoL [ 13 ].…”

Section: Scoliosismentioning

confidence: 99%