Abstract:
INTRODUCTION:Infantile idiopathic scoliosis (IIS) is a rare orthopaedic condition. Braces and casts are popular options in the treatment of IIS but there is a paucity of studies commenting on the outcome of non-operative treatment. The purpose of this study was to analyse failure and success after non-operative treatment for severe forms of IIS. METHODS:We retrospectively reviewed the data of all children who had been treated for IIS between 2003 and 2009 at a single institution. After calculating the failure and success rates, we additionally performed a risk factor analysis for patients who failed non-operative treatment. Chi (2) and T tests were used for statistical analysis with significance set at p < 0.05. RESULTS:25 children with an average age of 11 months and an Cobb angle of 46 degrees at presentation were analysed. Seven (28 %) patients were considered as having failed non-operative treatment after an average follow-up of 28 months. The pretreatment Cobb angle was identified as single significant risk factor for failure (55 versus 42) while neither age, gender, nor RVAD seem to influence the outcome. In children who were considered as successfully treated, the Cobb angle decreased from 42 to 18 degrees. CONCLUSION:Non-operative treatment for IIS is successful in 3 out of 4 patients.
journal_name
Z Orthop Unfalljournal_title
Zeitschrift fur Orthopadie und Unfallchirurgieauthors
Trobisch PD,Samdani A,O'Neil C,Betz R,Cahill Pdoi
10.1055/s-0031-1280330subject
Has Abstractpub_date
2012-02-01 00:00:00pages
52-5issue
1eissn
1864-6697issn
1864-6743journal_volume
150pub_type
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
pub_type: 临床试验,杂志文章
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
pub_type: 临床试验,杂志文章
doi:10.1055/s-2007-965172
更新日期:2007-03-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
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journal_title:Zeitschrift fur Orthopadie und Unfallchirurgie
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pub_type: 杂志文章
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