For citation purposes: Weiss HR, Moramarco M. Scoliosis - treatment indications according to current evidence. OA Musculoskeletal Medicine 2013 Mar 01;1(1):1.

Critical Review

 
Management

Scoliosis-treatment indications according to current evidence

HR Weiss, M Moramarco
 

Authors affiliations

(1) Orthopedic Rehabilitation Services ‘Gesundheitsforum Nahetal’, Gensingen, Germany

(2) Scoliosis 3DC, Baldwin Green Common, Suite 204, Woburn, MA, USA

* Corresponding authors Emails: hr.weiss@skoliose-dr-weiss.com, marc@drmoramarco.com

Abstract

Introduction

Long-term follow-ups of untreated patients with adolescent idiopathic scoliosis (AIS) indicate that the consequences of AIS over a lifetime are minimal, sometimes moderate in more severe cases, however, never life-threatening. In light of these findings, the historical indications for treatment should be investigated according to current evidence. This critical review discusses the treatment methods for scoliosis.

Materials and methods

Recent reviews have been investigated for their contribution to evidence in the field of scoliosis treatment—especially the impact of the results obtained on the historical modes of treatment.

Results

From these findings, we may conclude that there is promising evidence for the application of physiotherapy in the treatment of scoliosis in children or adolescents and for adults with curvatures exceeding 35° Cobb. There is a stronger evidence for the application of (hard) braces during growth. There is no evidence for spinal fusion surgery for AIS. The use of surgery should be limited in patients with scoliosis of other origin.

Conclusion

There is some evidence for the use of physiotherapy as a treatment for scoliosis. There is strong evidence for the use of hard braces during growth.

Licensee OA Publishing London 2013. Creative Commons Attribution License (CC-BY)
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