Juvenile idiopathic scoliosis

Figueiredo, UM; James, J. I. P.

doi:10.1302/0301-620x.63b1.7204475

Cited by 69 publications

(42 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consequently, it is impossible to compare these results with findings in patients with AIS. In our cohort, a subset of the patients developed a left thoracic curve, which resembles juvenile (ages 4–10 years) idiopathic scoliosis 35. In addition, a subset of the patients with 22q11.2DS has a right descending aorta, which is strongly correlated with a left thoracic curve 31.…”

Section: Discussionmentioning

confidence: 83%

Scoliosis in association with the 22q11.2 deletion syndrome: an observational study

et al. 2018

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 83%

Scoliosis in association with the 22q11.2 deletion syndrome: an observational study

et al. 2018

View full text Add to dashboard Cite

show abstract

“…Other authors have reported much higher percentages of patients who needed surgery despite bracing. For instance, Figueiredo and James [39] reported a 62% incidence of surgery in patients treated with a modified Milwaukee brace, Mannherz [13] reported 80%, and McMaster 87% [10]. In a recent paper, Jarvis [32] highlighted the difficult in comparing the results of the various studies because they involve patients with different characteristics, non standard indications for surgery, which varies from 19% to 87%, and outcome analysis.…”

Section: Discussionmentioning

confidence: 99%

Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies - SOSORT award 2013 winner

et al. 2014

View full text Add to dashboard Cite

BackgroundThe Juvenile idiopathic scoliosis by age of onset, severity and evolutivity is source of great doubts concerning the purpose and use of conservative treatment. The different clinical experiences leave unsolved the question that arises in applying a conservative treatment when the patients are effectively forward a long growing period, in scoliosis characterized by inevitable evolutivity. The purpose of the present prospective study was to determine the effectiveness of conservative treatment in Juvenile idiopathic scoliosis.MethodsFrom 1238 patients treated for idiopathic scoliosis between 1995 and 2012 fulfill the inclusion criteria 163 patients treated with PASB, Lyon brace and Milwaukee. Of these, 113 patients had a definite outcome, 27 have abandoned treatment e 23 are still in treatment. The minimum follow-up was 24 months. Radiographs were used to estimate the curve magnitude (CM) and the torsion of the apical vertebra (TA) at 5 time points: beginning (t1), 6 months after the beginning (t2), intermediate time between t1 and t4 (t3), end of weaning (t4), 2-years minimum follow-up (t5). Three outcomes were distinguished in agreement with SRS criteria: correction, stabilization and progression.ResultsThe results from our study showed that of the 113 patients with a definite outcome CM mean value was 29.6 ± 7.5 SD at t1 and 16.9 ± 11.1 SD at t5. TA was 13.5 ± 5.4 SD at t1 and 8.5 ± 5.6 at t5. The variations between CM t5-t1 and TA t5-t1 were statistically significantly different. Curve correction was accomplished in 88 patients (77.8%), stabilization was obtained in 18 patients (15.9%). 7 patients (6.19%) have a progression and 4 of these were recommended for surgery. Of 26 patients who abandoned the treatment, at the time of abandonment (12.5 age) have achieved curve correction in 19 cases (70.0%), stabilization in 5 cases (19%) and progression in 3 cases (11%). Of these patients, reviewed at the end of growing, four have been operated on.ConclusionsOur study confirmed that conservative treatment with brace is highly effective in treating juvenile idiopathic scoliosis, in particular most patients reaching a complete curve correction and only 4.9% of patients need surgery.

show abstract

“…In a third study, 89% of the infantile patients also had a good response to casting, with a surgery rate of 16% at final follow-up [10]. However, in the somewhat older patients with juvenile scoliosis, casting and/or bracing has been reported to be much less successful than in the infantile scoliosis population, with surgery rates ranging from 27 to 100% after nonoperative treatment [11][12][13][14][15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

“…The natural history shows that 70-95% of curves in juvenile scoliosis progress, of which 50% eventually need (surgical) treatment [15,16,22], which justifies earlier treatment if feasible. However, the optimal nonoperative treatment regimens are relatively unknown.…”

Section: Introductionmentioning

confidence: 99%

Effective nonoperative treatment in juvenile idiopathic scoliosis

Hessem

Schimmel²,

Graat³

et al. 2014

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

Nonoperative management of juvenile idiopathic scoliosis (JIS) has been reported to be less effective than that of infantile idiopathic scoliosis. The goal of this study was to analyse the results of casting and/or bracing in JIS. Clinical data from seven patients with JIS, treated with casting followed by bracing (n=3) or by bracing alone (n=4), were retrospectively collected, and curve severity was measured before, during and after treatment. The median Cobb angle decreased from 37° to 25°. No patient needed surgery at a median follow-up of 4.6 years (3.4-9.1 years). Casting and/or bracing is effective for the management of JIS.

show abstract

Juvenile idiopathic scoliosis

Cited by 69 publications

References 11 publications

Scoliosis in association with the 22q11.2 deletion syndrome: an observational study

Scoliosis in association with the 22q11.2 deletion syndrome: an observational study

Brace treatment in juvenile idiopathic scoliosis: a prospective study in accordance with the SRS criteria for bracing studies - SOSORT award 2013 winner

Effective nonoperative treatment in juvenile idiopathic scoliosis

Contact Info

Product

Resources

About