Non-operative treatment of adolescent idiopathic scoliosis

IF 2.3 3区 医学 Q2 ORTHOPEDICS Orthopaedics & Traumatology-Surgery & Research Pub Date : 2025-02-01 DOI:10.1016/j.otsr.2024.104078
Audrey Angelliaume , Clémence Pfirrmann , Toulla Alhada , Jérôme Sales de Gauzy
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Abstract

Adolescent idiopathic scoliosis worsens mainly during growth at puberty. This is when non-operative treatment, by brace and physiotherapy, comes into its own. Only the brace has proven efficacy in stabilizing Cobb’s angle. There are numerous types of brace and modalities of application, to be adapted to the scoliosis and the patient. What is crucial is that the patient should accept the brace, as compliance is one of the keys to success. The aim is, by the end of growth, to have a balanced spine with as little curvature as possible, to avoid aggravation and impaired quality of life in adulthood.

Level of evidence

Expert opinion
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青少年特发性脊柱侧凸的非手术治疗。
青少年特发性脊柱侧凸主要在青春期生长期间恶化。这时非手术治疗,通过支架和物理治疗,发挥了作用。只有支架被证实对稳定科布的角度有效。有许多类型的支撑和应用方式,以适应脊柱侧凸和患者。关键是患者应该接受支架,因为依从性是成功的关键之一。这样做的目的是,在生长结束时,拥有一个平衡的脊柱,尽可能少的弯曲,以避免恶化和成年后的生活质量受损。证据级别:专家意见。
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来源期刊
CiteScore
5.10
自引率
26.10%
发文量
329
审稿时长
12.5 weeks
期刊介绍: Orthopaedics & Traumatology: Surgery & Research (OTSR) publishes original scientific work in English related to all domains of orthopaedics. Original articles, Reviews, Technical notes and Concise follow-up of a former OTSR study are published in English in electronic form only and indexed in the main international databases.
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