Brace Treatment in Adolescent Idiopathic Scoliosis
Journal Title: Journal of Clinical and Analytical Medicine - Year 2012, Vol 3, Issue 1
Abstract
Adolescent idiopathic scoliosis (AIS), the most common pediatric spine problem, is a structural lateral and rotatory curvature of the spine arising in otherwise normal children during puberty. It occurs before skeletal maturity. Although there is still no cause for AIS, the natural history of AIS has been established in the literature very well. The aim of nonoperative treatment is mainly an attempt to prevent progression of the curve. Bracing and surgery have been used for large and or progressive curves currently. Many conservative treatments are available for adolescents with idiopathic scoliosis (AIS). Although there are numerous studies in literature that have tried to summarize the results of treatment, the evidence for their accepted use is still unclear. Many clinicians skeptical about the efficacy of conservative treatments. Because there is no consistency of both the inclusion criteria and the definitions of brace effectiveness. The definition of success or who should be included in the analysis have never been universally agreed upon. The Scoliosis Research Society established parameters for all future AIS bracing studies to be able to make comparison among studies more valid and reliable. These guidelines may standardize orthotic studies by recommending inclusion and assessment criteria and allow the promotion of the effectiveness of different braces and decrease the suspicion about their usefulness. Orthotic treatment in adolescent idiopathic scoliosis is used to control spinal curvatures while waiting for skeletal maturation.
Authors and Affiliations
Serkan Bilgiç, Ömer Erşen, Ali Şehirlioğlu,
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