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Long-term observation and management of resolving infantile idiopathic scoliosis

DIEDRICH O; VONSTREMPEL A; SCHLOZ M
J BONE JOINT SURG BR , 2002, vol. 84, n° 7, p. 1030-1035
Doc n°: 106520
Localisation : Documentation IRR
Descripteurs : CB222 - SCOLIOSE IDIOPATHIQUE

Of 42 patients with resolving infantile idiopathic scoliosis, 34 were followed up for more than 25 years. Twenty had been primarily treated in a plaster bed and 14 by physiotherapy.
The mean angle of the curve at presentation was 17degrees and at follow-up it was 5degrees.
No patient had significant progression of the scoliosis during the growth spurt. When adults few had back pain or an increased disability score and there was no interference with work or social activities. The rib-vertebra angle difference proved to be an essential radiological sign when distinguishing resolving from progressive infantile idiopathic scoliosis. There was no advantage of plaster over physiotherapy with regard to either the time to resolution or the functional outcome. Treatment of resolving infantile idiopathic scoliosis in a plaster bed is therefore now outdated.

Langue : ANGLAIS

Tiré à part : OUI

Identifiant basis : 2002224593

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