| Autor: |
Maruyama, Toru, Kitagawa, Tomoaki, Takeshita, Katsushi, Mochizuki, Keiichi, Nakamura, Kozo |
| Předmět: |
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| Zdroj: |
Pediatric Rehabilitation; Jul-Dec2003, Vol. 6 Issue 3/4, p215-219, 5p |
| Abstrakt: |
Since 1986, the authors have been conducting conservative treatment for idiopathic scoliosis with the combination of brace treatment and physical treatment (side shift exercise and hitch exercise). A total of 328 female patients with adolescent idiopathic scoliosis who were at least 10 years of age at the first visit, with Cobb angle of 10° at the minimum and followed until after 15 years of age or skeletal maturity were included. The average Cobb angle was 32.4° and the average age was 13.8 years at the first visit. Surgery was recommended when curvature progressed to >50°. Twenty of 328 patients (6.1%) with more severe curves to begin with (mean Cobb angle at admission of 48.5 ± 9.3°) progressed to 62.2 ± 8.5° and were treated with spinal fusion by the age of 16.0 ± 2.6 years. The remaining 308 patients, of comparable age at inception of treatment but with a smaller original mean Cobb angle (32.4 ± 11.1°), showed no significant increase in magnitude of curvature (mean 33.6 ± 11.5°) by the time of discharge (18.6 ± 3.1 years). The fact that curvature magnitude was maintained at <35° means that these patients will have a good prognosis for avoiding dramatic progression during adulthood. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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