Idiopathic scoliosis.

Abstract:

BACKGROUND:Scoliosis is a three-dimensional deviation of the spinal axis. The main diagnostic criterion is spinal curvature exceeding 10° on a plain anteroposterior X-ray image. Scoliosis is called idiopathic when no other underlying disease can be identified. METHODS:Selective literature review and recommendations of the relevant medical societies in Germany and abroad. RESULTS:Scoliosis in children of school age and above primarily occurs in girls. Its prevalence is 1% to 2% among adolescents, but more than 50% among persons over age 60. The therapeutic goal in children is to prevent progression. In children, scoliosis of 20° or more should be treated with a brace, and scoliosis of 45° or more with surgery. The treatment of adults with scoliosis is determined on an individual basis, with physiotherapy and braces playing a relatively minor role. Adults (even elderly adults) who have scoliosis and sagittal imbalance may be best served by surgical treatment. CONCLUSION:Scoliosis is common. Early diagnosis makes a major difference in the choice of treatment.

journal_name

Dtsch Arztebl Int

authors

Trobisch P,Suess O,Schwab F

doi

10.3238/arztebl.2010.0875

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

875-83; quiz 884

issue

49

issn

1866-0452

journal_volume

107

pub_type

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