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Long-term observation and management of resolving infantile idiopathic scoliosis a 25-year follow-up

Of 42 patients with resolving infantile idiopathic scoliosis, 34 were followed up for more than 25 years. Twenty had been primarily treated in a plaster bed and 14 by physiotherapy. The mean angle of the curve at presentation was 17 degrees and at follow-up it was 5 degrees. No patient had significant progression of the scoliosis during the growth spurt. When adults few had back pain or an increased disability score and there was no interference with work or social activities. The rib-vertebra angle difference proved to be an essential radiological sign when distinguishing resolving from progressive infantile idiopathic scoliosis. There was no advantage of plaster over physiotherapy with regard to either the time to resolution or the functional outcome. Treatment of resolving infantile idiopathic scoliosis in a plaster bed is therefore now outdated

Keywords : Adult,Back Pain,Chi-Square Distribution,diagnostic imaging,Disability Evaluation,Female,Follow-Up Studies,Growth,Humans,Longitudinal Studies,Male,Pain,physiopathology,Prognosis,Radiography,Retrospective Studies,Scoliosis,surgery,therapy,Treatment Outcome,, Observation,Management,Resolving, list of elbow injuries

Date of Publication : 2002 Sep

Authors : Diedrich O;von SA;Schloz M;Schmitt O;Kraft CN;

Organisation : Department of Orthopaedic Surgery, University of Bonn, Germany

Journal of Publication : J Bone Joint Surg Br

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/12358367

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