A Systematic Literature Review of Nonsurgical Treatment in Adult Scoliosis

@article{Everett2007ASL,
  title={A Systematic Literature Review of Nonsurgical Treatment in Adult Scoliosis},
  author={Clifford R. Everett and Rajeev K. Patel},
  journal={Spine},
  year={2007},
  volume={32},
  pages={S130-S134}
}
STUDY DESIGN : A formal systematic review of the literature for conservative treatment of adult deformity was performed. [...] Key Method The methodology of the studies was graded and the evidence was classified into 1 of 5 levels based on study types. Based on this, a treatment recommendation was determined. RESULTS : There is indeterminate, Level III/IV evidence on the effectiveness of any conservative care option.Expand
Value of scoliosis care: Nonsurgical treatment versus surgery
TLDR
Future prospective studies focusing on the cost-effectiveness of adult scoliosis treatment with an emphasis on improving the quality of life of these patients are needed to confirm the current retrospective literature's assertion that surgery provides betterquality of life than nonoperative treatment.
Outcomes of Nonsurgical Treatments for Symptomatic Adult Degenerative Scoliosis: A Systematic Review.
TLDR
The quantity and quality of the evidence regarding injections, bracing, and yoga are insufficient to advise for or against the use of these methods to improve outcomes in symptomatic ADS and other nonoperative treatment forms.
PHYSIOTHERAPY METHODS FOR PATIENTS WITH ADULT SCOLIOSIS
TLDR
The combined use of spinal mobilization and postural therapy applied in the EG appears more effective than the conventional physiotherapy program used in the treatment of adult idiopathic scoliosis.
Current Status of Adult Spinal Deformity
TLDR
If nonoperative therapy fails in addressing a patient's complaints, then an appropriate surgical procedure that relieves neural compression, corrects excessive sagittal or coronal imbalance, and results in a solidly fused, pain-free spine is warranted.
Cost and Value of Spinal Deformity Surgery
TLDR
Future prospective studies focusing on the cost-effectiveness of adult scoliosis treatment and improvement of quality of life are needed to confirm the assertion of the current retrospective literature that surgery provides betterquality of life than nonoperative treatment.
Surgery is an Effective and Reasonable Treatment for Degenerative Scoliosis: A Systematic Review
TLDR
Despite a high incidence of complications and reoperations, surgery was an effective and reasonable treatment for DS, providing significant functional improvement and deformity correction.
The Costs and Benefits of Nonoperative Management for Adult Scoliosis
TLDR
This study questions the value of nonoperative treatment commonly used for adult scoliosis patients, and whether the treatment group might have deteriorated if not for the treatment they received.
Adult degenerative scoliosis insights, challenges, and treatment outlook
TLDR
Reestablishing both coronal and sagittal balance enhances success in reconstructing the degenerative scoliotic spine, although there is potentially more variability in determining the proximal extent of the construct.
A systematic literature review of spinal brace/orthosis treatment for adults with scoliosis between 1967 and 2018: clinical outcomes and harms data
TLDR
There is evidence to suggest that spinal brace/orthosis treatment may have a positive short – medium term influence on pain and function in adults with either progressive primary (de novo) degenerative scoliosis or progressive idiopathicScoliosis.
Outcomes for adult scoliosis patients receiving chiropractic rehabilitation: a 24-month retrospective analysis.
TLDR
This report is among the first to demonstrate sustained radiographic, self-rated, and physiologic benefits after treatment ceased, and a retrospective cohort of 28 adult scoliosis patients reported improvements in pain, Cobb angle, and disability immediately following the conclusion of treatment and 24 months later.
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References

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Adult scoliosis: evaluation and nonsurgical treatment.
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  • Medicine
    Instructional course lectures
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TLDR
The decision to proceed with surgical treatment is justified in many cases, but it must be based on a thorough understanding of the anticipated benefits from surgical treatment and the risk of serious complications leading to multiple surgeries and results that can be less desirable than the original condition.
Adult scoliosis: evaluation and nonsurgical treatment.
TLDR
The decision to proceed with surgical treatment is justified in many cases, but it must be based on a thorough understanding of the anticipated benefits from surgical treatment and the risk of serious complications leading to multiple surgeries and results that can be less desirable than the original condition.
Scoliosis: surgical versus nonsurgical treatment.
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TLDR
How the factors that are important in natural history effect decision making in the adolescent and adult are discussed, by using an evidence-based approach, hopefully a better decision-making process will result in improved outcomes.
Adult scoliosis.
TLDR
Surgeons should not attempt treatment of adults until thoroughly competent in the treatment of adolescent scoliosis, and special procedures, such as anterior correction and fusion as well as combined anterior and posterior procedures are appropriate only for very special problems.
Adult Scoliosis: A Health Assessment Analysis by SF-36
TLDR
It is concluded that adult scoliosis is becoming a medical condition of significant impact, affecting the fastest growing section of the authors' society to a previously unrecognized degree.
Treatment of chronic pain in adult scoliosis.
TLDR
The F.E.N.D.D.'s method seems to be a promising alternative for treatment of painful sequels in adult scoliosis, since in the study disappearance of symptomatology was seen in the majority of cases.
The use of exercises in the treatment of scoliosis: an evidence-based critical review of the literature
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    Pediatric rehabilitation
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TLDR
A growing body of evidence from independent sources is consistent with the hypothesis that exercise-based approaches can be used effectively to reverse the signs and symptoms of spinal deformity and to prevent progression in children and adults.
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This is a review of 30 years' experience with spinal deformities and includes the methods of analysis and treatment that have stood the test of time and are still basic in the treatment of scoliosis
Brace treatment of spinal claudication in an adult with lumbar scoliosis--a case report.
TLDR
In contrary to current hypotheses about the aetiology of spinal claudication augmentation of lordosis may lead to a significant improvement of symptoms associated with spinal stenosis and lumbar scoliosis.
Effectiveness of transforaminal epidural steroid injections in patients with degenerative lumbar scoliotic stenosis and radiculopathy.
TLDR
F fluoroscopic transforaminal epidural steroid injections appear to be an effective nonsurgical treatment option for patients with degenerative lumbar scoliotic stenosis and radiculopathy and should be considered before surgical intervention.
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