| Autor: |
Del Prete CM; Department of Physical Medicine and Rehabilitation, ASL LE, 73100 Lecce, Italy., Tarantino D; Department of Public Health, University of Naples Federico II, 80131 Naples, Italy., Viva MG; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, 00183 Rome, Italy., Murgia M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, 00183 Rome, Italy., Vergati D; Orthopedic Workshops Orthogea, 72017 Ostuni, Italy., Barassi G; Center for Physiotherapy, Rehabilitation and Re-Education-CeFiRR-Gemelli Molise, 86100 Campobasso, Italy., Sparvieri E; Department of Internal Medicine, ASL Teramo, 64100 Teramo, Italy., Di Stanislao E; Orthopedic Workshops I.T.O.P., 00036 Palestrina, Italy., Perpetuini D; Department of Engineering and Geology, University 'G. d'Annunzio' of Chieti-Pescara, 65127 Pescara, Italy., Russo EF; Padre Pio Foundation and Rehabilitation Centers, 71013 San Giovanni Rotondo, Italy., Filoni S; I.R.R.C.S. Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy., Pellegrino R; Department of Scientific Research, Campus Ludes, Off-Campus Semmelweis University, 6912 Lugano-Pazzallo, Switzerland.; Santa Chiara Institute, 73100 Lecce, Italy. |
| Abstrakt: |
Adolescent idiopathic scoliosis (AIS) is a lateral, rotated curvature of the spine. It is a 3-dimensional deformity that arises in otherwise healthy children at or around puberty. AIS is the most common form of scoliosis in the pediatric population. The etiology is multifactorial, including genetic and environmental factors. The incidence is roughly equal between males and females, while there is a higher risk of progression in females. Guidelines for AIS treatment identify three levels of treatment: observation, physiotherapy scoliosis-specific exercises, and braces. In this paper, we carried out a review of the scientific literature about the indication and success rates of the braces provided for free by the National Health Service in Italy (SSN). Despite a general consensus on the efficacy of rigid bracing treatment and its use in AIS, an important heterogeneity about the treatment is present in the scientific literature, demonstrating a high degree of variability. The overall success rate of the braces provided by the SSN is high, suggesting an important therapeutic role in the treatment of AIS. Robust guidelines are needed to ensure uniform and effective treatments. |
