TY - JOUR
T1 - Nonsurgical management of adolescent idiopathic scoliosis
AU - Gomez, Jaime A.
AU - Hresko, M. Timothy
AU - Glotzbecker, Michael P.
N1 - Publisher Copyright:
© 2016 by the American Academy of Orthopaedic Surgeons.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - 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.
AB - 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.
KW - Schroth method and physical therapy for scoliosis
KW - bracing for scoliosis
KW - idiopathic scoliosis treatment
KW - nonoperative scoliosis
KW - scoliosis brace types
UR - http://www.scopus.com/inward/record.url?scp=84979498531&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84979498531&partnerID=8YFLogxK
U2 - 10.5435/JAAOS-D-14-00416
DO - 10.5435/JAAOS-D-14-00416
M3 - Review article
C2 - 27388720
AN - SCOPUS:84979498531
SN - 1067-151X
VL - 24
SP - 555
EP - 564
JO - Journal of the American Academy of Orthopaedic Surgeons
JF - Journal of the American Academy of Orthopaedic Surgeons
IS - 8
ER -