Nonsurgical management of adolescent idiopathic scoliosis

Jaime A. Gomez, M. Timothy Hresko, Michael P. Glotzbecker

Research output: Contribution to journalReview article

8 Scopus citations

Abstract

Pediatric patient visits for spinal deformity are common. Most of these visits are for nonsurgical management of scoliosis, with approximately 600,000 visits for adolescent idiopathic scoliosis (AIS) annually. Appropriate management of scoliotic curves that do not meet surgical indication parameters is essential. Renewed enthusiasm for nonsurgical management of AIS (eg, bracing, physical therapy) exists in part because of the results of the Bracing in Adolescent Idiopathic Scoliosis Trial, which is the only randomized controlled trial available on the use of bracing for AIS. Bracing is appropriate for idiopathic curves between 20° and 40°, with successful control of these curves reported in >70% of patients. Patient adherence to the prescribed duration of wear is essential to maximize the effectiveness of the brace. The choice of brace type must be individualized according to the deformity and the patient's personality as well as the practice setting and brace availability.

Original languageEnglish (US)
Pages (from-to)555-564
Number of pages10
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume24
Issue number8
DOIs
StatePublished - Aug 1 2016

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Keywords

  • bracing for scoliosis
  • idiopathic scoliosis treatment
  • nonoperative scoliosis
  • Schroth method and physical therapy for scoliosis
  • scoliosis brace types

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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