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The costs and benefits of nonoperative management for adult scoliosis

STUDY DESIGN: A prospective cohort of adult scoliosis patients treated nonoperatively had a minimum of 2-year follow-up during which time data were collected on the type and quantity of nonoperative treatment used. OBJECTIVE: To quantify the use, cost, and effectiveness of nonoperative treatment for adult scoliosis. SUMMARY OF BACKGROUND DATA: A 2007 systematic review of nonsurgical treatment in adult scoliosis revealed minimal data, and concluded that evidence for nonoperative care was lacking. METHODS: Duration of use and frequency of visits were collected for 8 specific treatment methods: medication, physical therapy, exercise, injections/blocks, chiropractic care, pain management, bracing, and bed rest. Costs for each intervention were determined using the Medicare Fee schedule. Outcome measures were the SRS-22, SF-12, and ODI. Analysis was performed for the entire group, and for subsets of high (ODI, >40), mid (ODI = 21-40) and low (ODI, Keywords : Adolescent,Adult,Aged,Analgesics,analysis,Bed Rest,Chiropractic,Cost of Illness,economics,Exercise,Female,Health Care Costs,Health Status,Humans,Male,Medicare,methods,Middle Aged,Pain,Pain Management,Pain Measurement,Patients,Physical Therapy Modalities,Prospective Studies,Quality of Life,Scoliosis,surgery,Surveys and Questionnaires,therapeutic use,therapy,Time,Treatment Outcome,Universities,, Costs,Benefits,Nonoperative, biopsychosocial model ppt

Date of Publication : 2010 Mar 1

Authors : Glassman SD;Carreon LY;Shaffrey CI;Polly DW;Ondra SL;Berven SH;Bridwell KH;

Organisation : Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, KY 40202, USA. tallgeyer@spinemds.com

Journal of Publication : Spine (Phila Pa 1976 )

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/20118843

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