Natural History of Adolescent Idiopathic Scoliosis in Skeletally Mature Patients: A Critical Review
@article{Agabegi2015NaturalHO, title={Natural History of Adolescent Idiopathic Scoliosis in Skeletally Mature Patients: A Critical Review}, author={Steven S. Agabegi and Namdar Kazemi and P. F. Sturm and Charles T Mehlman}, journal={Journal of the American Academy of Orthopaedic Surgeons}, year={2015}, volume={23}, pages={714–723} }
The surgical treatment of adolescent idiopathic scoliosis is dependent on several factors, including curve type and magnitude, degree of curve progression, skeletal maturity, and other considerations, such as pain and cosmesis. The most common indication for surgery is curve progression. Most authors agree that surgical treatment should be considered in skeletally mature patients with curves >50° because of the risk of progression into adulthood. Furthermore, most authors would agree that…
41 Citations
Scoliosis and Prognosis—a systematic review regarding patient-specific and radiological predictive factors for curve progression
- MedicineEuropean Spine Journal
- 2021
The current state of knowledge is summarised as the basis for creation of patient-specific algorithms regarding a risk calculation for a progressive scoliotic deformity.
Abnormal Cerebrospinal Fluid Flow: A New Model of Idiopathic Scoliosis.
- BiologyNeurosurgery
- 2016
The data show that mutations in protein tyrosine kinase-7 (ptk7, a signaling pathway regulator) impair the growth and function of ependymal cell (EC) cilia, preventing the proper flow of cerebrospinal fluid (CSF) and that IS develops directly from ptk7-related EC ciliary dysfunction.
Is It Growth or Natural History? Increasing Spinal Deformity After Sanders Stage 7 in Females With AIS
- MedicineJournal of pediatric orthopedics
- 2019
A curve >40 degrees at SS7 is at high risk for progressing to a curve measuring >50 degrees or requiring surgery, and those with curves below this threshold still have potential to make clinically significant progression after skeletal maturity.
SRS-22r Scores in Nonoperated Adolescent Idiopathic Scoliosis Patients With Curves Greater Than Forty Degrees
- MedicineSpine
- 2017
There are no meaningful clinically significant differences in SRS-22r scores at average 8-year follow-up between AIS patients with curves ≥40° treated with or without surgery, which should encourage surgeons to reevaluate the benefits of routine surgical care.
Epidemiological study of adolescent idiopathic scoliosis using low/non-radiation screening methodology.
- MedicineJournal of rehabilitation medicine
- 2018
PA projection radiographs with tight collimation can reduce ionizing radiation more effectively than pure PA projection, and radiation-free and efficient methods could be considered in future for monitoring the evolution of AIS.
Brace Treatment in Adolescent Idiopathic Scoliosis Patients with Curve Between 40° and 45°: Effectiveness and Related Factors.
- MedicineWorld neurosurgery
- 2019
Indications for Lumbar Fusion in the Skeletally Mature Adolescent: How to Address Oblique Takeoff and Limb Length Discrepancy.
- MedicineJournal of pediatric orthopedics
- 2021
Although the clinical and radiographic outcomes of PSF with SSI are excellent, patients should be counseled about the impact of fusing the lumbar spine on back pain, decreased spinal mobility, and potential inability to return to athletics at the same level.
Variation in Adolescent Idiopathic Scoliosis Surgery: Implications for Improving Healthcare Value
- Medicine, Political ScienceThe Journal of pediatrics
- 2018
Does Posterior Scoliosis Correction Improve Respiratory Function in Adolescent Idiopathic Scoliosis? A Systematic Review and Meta-analysis
- MedicineGlobal spine journal
- 2019
Posterior correction surgery for mild to moderate AIS patients showed no significant improvement of postoperative respiratory function measured by relative, percent-predicted values at minimum 2-year follow-up.
The effectiveness of Schroth exercises in adolescents with idiopathic scoliosis: A systematic review and meta-analysis
- MedicineThe South African journal of physiotherapy
- 2019
Clinicians could combine supervised Schroth exercises with conventional physiotherapy care (observation, exercise, bracing and manual therapy) when treating adolescents with idiopathic scoliosis.
References
SHOWING 1-10 OF 39 REFERENCES
Natural History of Untreated Idiopathic Scoliosis After Skeletal Maturity
- MedicineSpine
- 1986
In an unselected group of patients with severe curves a mortality rate of 17% was found, twice as much as in the Italian general population, and the cosmetic appearance of these patients at long-term follow-up was better than that at the end of growth, even though the curves progressed.
Natural history of adolescent thoracolumbar and lumbar idiopathic scoliosis into adulthood.
- MedicineJournal of spinal disorders
- 1997
It is encouraging that these individuals with adolescent idiopathic scoliosis have continued to do well for at least 20 years past skeletal maturity and reported handicap scores comparable to those of the control group.
The natural history of unfused scoliosis.
- MedicineOrthopedics
- 1987
There was considerable variation in the progression rate of similar deformities but on average significant deterioration occurred when the Cobb angle was over 55 degrees with a maximum deterioration approaching 1.5 degrees per year in the thoracic curves between 90 degrees and 100 degrees mature Cobb angle.
Health and function of patients with untreated idiopathic scoliosis: a 50-year natural history study.
- MedicineJAMA
- 2003
Untreated adults with LIS are productive and functional at a high level at 50-year follow-up and cause little physical impairment other than back pain and cosmetic concerns.
A short-term follow-up of patients with mild scoliosis.
- MedicineThe Journal of bone and joint surgery. British volume
- 1981
Thirty patients with mild idiopathic scoliosis were reviewed and lateral curves over 30 degrees, with rotation of 25 degrees or more, were found to be almost twice as likely to progress.
Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients.
- MedicineThe Journal of bone and joint surgery. American volume
- 1981
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…
The Ste‐Justine Adolescent Idiopathic Scoliosis Cohort Study: Part III Back Pain
- Medicine, PsychologySpine
- 1994
The results of this study suggest that back pain is responsible for a considerable amount of disability and handicap in later life and health professionals involved with the management of persons with AIS need to consider this important outcome.
Adult Scoliosis: A Health Assessment Analysis by SF-36
- MedicineSpine
- 2003
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.
Curve progression in idiopathic scoliosis.
- MedicineThe Journal of bone and joint surgery. American volume
- 1983
Curves that measured between 50 and 75 degrees at skeletal maturity, particularly thoracic curves, progressed the most and Translatory shifts played an important role in curve progression.
Cardiorespiratory consequences of unfused idiopathic scoliosis.
- MedicineBritish journal of diseases of the chest
- 1986