Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients.

@article{Weinstein1981IdiopathicSL,
  title={Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients.},
  author={Stuart L. Weinstein and Donald C. Zavala and Ignacio Vives Ponseti},
  journal={The Journal of bone and joint surgery. American volume},
  year={1981},
  volume={63 5},
  pages={
          702-12
        }
}
Two hundred and nineteen patients with untreated adolescent idiopathic scoliosis who were seen at the University of Iowa between 1932 and 1948 were studied, and recent information was available on 194 of the patients. The mortality rate was 15 per cent. Backache was somewhat more common in these patients than in the general population, although it was never disabling. The backache was unrelated to the presence of osteoarthritic changes on roentgenograms. Many curves continued to progress… 
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References

SHOWING 1-10 OF 46 REFERENCES
Long-term follow-up of patients with idiopathic scoliosis not treated surgically.
TLDR
Middle-aged patients with adolescent idiopathic scoliosis, who were initially seen in the authors' clinic from 1932 to 1948, and who were not surgically treated, found a death rate similar to that of the normal population.
Untreated scoliosis in the adult.
TLDR
Scoliosis affects the quality of life and is a disabling disease in the adult, and is associated with socioeconomic problems not encountered in the adolescent.
Results of Harrington instrumentation and fusion in the adult idiopathic scoliosis patient.
TLDR
The majority of patients with idiopathic scoliosis had significant improvement in symptoms as a result of surgical correction and stabilization, the most frequent of which was pseudarthrosis.
Pulmonary Function in Idiopathic Scoliosis
TLDR
Sixteen of thirty-three patients with idiopathic scoliosis had normal pulmonary function before and after surgical treatment, suggesting that they would have a better chance for their pulmonary status to remain normal in the future because of correction of their spinal curves.
Excessive thoracic lordosis and loss of pulmonary function in patients with idiopathic scoliosis.
TLDR
Patients with idiopathic scoliosis with excessive thoracic lordosis, progressive deformity despite Milwaukee brace treatment, and significant compromise of pulmonary function are presented.
Lung Function in Young Persons After Spinal Fusion For Scoliosis
TLDR
The findings suggest that the psychological advantages of improving the patient's appearance by surgery and of preventing any respiratory condition from worsening may be achieved, although the total capacity and vital capacity are not much improved by spinal fusion.
Lung volumes in scoliosis before and after correction by the Harrington instrumentation method.
TLDR
The correction of idiopathic scoliosis by the standard posterior fusion with Harrinton instrumentation together with the postoperative routine provides a lasting reduction of the spinal deformity, prevents progression of respiratory impairment and increases the lung volumes, vital capacity, total lung capacity and functional residual capacity by an average of 10 per cent.
Pulmonary function in kyphoscoliosis before and after correction by the Harrington instrumentation method.
TLDR
Over-enthusiastic correction of the curve may lead to a further decrease in lung volumes, but adequate treatment should be instituted as soon as a curve is noted in order to preserve that lung function is left.
Pulmonary Function in Paralytic and Non-Paralytic Scoliosis before and after Treatment
TLDR
The results confirm the concept that angular deformities of the spine cause impairment of pulmonary function and demonstrate that the application of the preoperative corrective device further reduces pulmonary function except when the halo apparatus is used as the corrective device.
The distribution of abnormal lung function in kyphoscoliosis.
TLDR
It is suggested that increased curvature in the erect position compresses the lung particularly on the concave side of the curve accounting for decreased aerating volume.
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