Format

Send to

Choose Destination
Dtsch Arztebl Int. 2010 Dec;107(49):875-83; quiz 884. doi: 10.3238/arztebl.2010.0875. Epub 2010 Dec 10.

Idiopathic scoliosis.

Author information

1
Shriners Hospital for Children, 3551 N Broad Street, Philadelphia, PA 19140, USA. pertrobisch@gmail.com

Abstract

BACKGROUND:

Scoliosis is a three-dimensional deviation of the spinal axis. The main diagnostic criterion is spinal curvature exceeding 10° on a plain anteroposterior X-ray image. Scoliosis is called idiopathic when no other underlying disease can be identified.

METHODS:

Selective literature review and recommendations of the relevant medical societies in Germany and abroad.

RESULTS:

Scoliosis in children of school age and above primarily occurs in girls. Its prevalence is 1% to 2% among adolescents, but more than 50% among persons over age 60. The therapeutic goal in children is to prevent progression. In children, scoliosis of 20° or more should be treated with a brace, and scoliosis of 45° or more with surgery. The treatment of adults with scoliosis is determined on an individual basis, with physiotherapy and braces playing a relatively minor role. Adults (even elderly adults) who have scoliosis and sagittal imbalance may be best served by surgical treatment.

CONCLUSION:

Scoliosis is common. Early diagnosis makes a major difference in the choice of treatment.

Comment in

PMID:
21191550
PMCID:
PMC3011182
DOI:
10.3238/arztebl.2010.0875
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Deutsches Aerzteblatt International Icon for PubMed Central
Loading ...
Support Center