Is there an indication for surgery in patients with spinal deformities? – A critical appraisal

Weiss, Hans‐Rudolf; Nan, Xiaofeng; Potts, Matthew A.

doi:10.4102/sajp.v77i2.1569

Cited by 4 publications

(3 citation statements)

References 73 publications

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“…(12). This type of treatment will not reduce morbidity or improve the quality of life of an adolescent patient when he reaches adulthood, which is why the prevailing opinion is that surgical treatment is not justified on the basis of medical indication (19). Scoliosis and its treatment can cause psychological problems.…”

Section: Treatment Of Scoliosismentioning

confidence: 99%

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

Bakula

Šantić

Milinković

2022

Zdravstveni Glasnik

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Scoliosis is the most common orthopedic deformity in children, characterized by a three-dimensional curvature of the spine; lateral inclination in the frontal plane, rotation in the transvesical plane and alteration in the sagittal plane (anterior or posterior). The problem of improper posture in children is one of the significant problems of the modern way of life, and it appears at an increasingly early age. It is estimated that there are around 10.5 million scoliosis sufferers on the planet. About 60% to 80% of all cases are detected in women, and they are five to eight times more likely to progress and require treatment. Progression occurs during the years of growth, from the age of 7 the growth is 36%, and from the age of 10 even 52%. Specific exercises are the main instrument of conservative treatment of scoliosis. They have been used since 500 BC, when Hippocrates, followed by Galen, introduced their use as a means of maintaining the flexibility of the chest wall. Over the years, various methods have been developed, the most famous of which is Schroth (Germany), then Bspts (Spain), Seas (Italy), Dopomed (Poland). The exercise program consists of strengthening certain muscle groups and of performing respiratory exercises and it contains: breathing exercises, stretching exercises for shortened muscles, exercises for strengthening the paravertebral musculature, and posture exercises. A good and effective kinesiotherapy program should be based on a kinesiological analysis of selected kinesiological operators.

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Section: Treatment Of Scoliosismentioning

confidence: 99%

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

Bakula

Šantić

Milinković

2022

Zdravstveni Glasnik

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“…Treatment of adolescent idiopathic scoliosis (AIS) consists of corrective exercise treatments, the application of various braces, and surgical treatment [5]. High-quality studies support the use of physical therapy measures [6][7][8] and brace application [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Results of Gensingen Bracing in Patients With Adolescent Idiopathic Scoliosis: Retrospective Cross-Sectional Feasibility Study

Nan,

Kuru Çolak,

Akçay

et al. 2024

JMIR Rehabil Assist Technol

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Background Bracing is an essential part of scoliosis treatment. The standard of brace treatment for patients with scoliosis today is still very variable in terms of brace quality and outcome. The Gensingen brace is a further developed Chêneau brace derivative with individual design, which can be adapted through computer-aided design. Objective This study aims to generate a template to obtain a database for prospective multicenter studies study to analyze the results of high-corrective asymmetric Gensingen brace treatment for patients with adolescent idiopathic scoliosis (AIS). Methods A template for the database was created, which contains the patients' basic data (age, menarcheal status, Risser Sign, curve pattern, and daily brace wearing time), the Cobb angles of curvature, and the cosmetically relevant angles of trunk rotation (ATR). A retrospective review of medical records of patients with AIS, who met the Scoliosis Research Society’s inclusion criteria for brace studies, was performed to test the feasibility of the template. Template items were filled in by the researchers. Results Out of 115 patients between 2014 and 2018, the complete data of 33 patients followed up at least 3 months after complete Gensingen brace weaning could be analyzed. The mean age was 12 years, the mean Cobb angle was 33.6°, and the mean Risser value was 0.7 at the beginning of the treatment. The mean improvement in the Cobb angle on in-brace x-ray imaging was –26.1० (80% of in-brace correction). The Cobb angle of the major curvature changed as follows: curve stabilization was achieved in 7 (21.2%) cases, and curve improvement was achieved in 26 (78.8%) cases. None of the patients showed a curve progression. The Cobb angle was significantly reduced in the brace at the end of treatment and at follow-up evaluation (P<.001). ATR improved significantly for thoracic (P<.001) and lumbar curves (P<.001). Conclusions The database proved to be informative in the assessment of radiological and clinical outcome parameters. The example data set we have generated can be a helpful tool for professionals who work in clinics but do not store regular patient data. Especially with regard to different patient collectives worldwide, different results may be achieved with the same standards of care. In addition, the results of this study suggest that above-average correction effects with a full-time brace application lead to significant improvements in the Cobb angle after brace treatment has been completed.

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“…Thus, congenital abnormalities of the spine can lead to adverse events in cardiorespiratory function, which is the main morbidity associated with this alteration, functional deformity in the musculoskeletal area, and psychological suffering in the patient. In turn, HV resection is the gold standard for congenital scoliosis caused by HV (Ouellet, 2011;Bao et al, 2021;Weiss et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Hemivertebra: A Case Report

Costa¹,

Fernandes²,

Gomes³

2023

RSM

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The spine forms the center of the human skeleton, and is composed of 33 vertebrae divided into cervical, thoracic, lumbar, sacral, and coccygeal regions. Hemivertebra (HV) is a malformation of this structure, with congenital scoliosis being the most recurrent complication. Scoliosis is characterized by abnormal lateral curvature of the spine. The prognosis of HV is related to the region of involvement and the associated complications. The etiology is subsequent to an error in the center of chondrification of the vertebra during gestation by incoherent displacement of cells during embryogenesis. Late treatment can lead to spinal deformities and altered anatomical and systemic response. This study aimed to describe a case of hemivertebra and its evolution.

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Is there an indication for surgery in patients with spinal deformities? – A critical appraisal

Cited by 4 publications

References 73 publications

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

The Importance of Corrective Exercises in the Treatment of Scoliosis in School-Age Children

Results of Gensingen Bracing in Patients With Adolescent Idiopathic Scoliosis: Retrospective Cross-Sectional Feasibility Study

Hemivertebra: A Case Report

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