Retrospective analysis of idiopathic scoliosis medical records coming from one out-patient clinic for compatibility with
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RESEARCH
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Retrospective analysis of idiopathic scoliosis medical records coming from one out-patient clinic for compatibility with Scoliosis Research Society criteria for brace treatment studies Krzysztof Korbel1*, Łukasz Stoliński1, Mateusz Kozinoga1,2 and Tomasz Kotwicki2 From 12th International Conference on Conservative Management of Spinal Deformities - SOSORT 2015 Annual Meeting Katowice, Poland. 7-9 May 2015
Abstract Background: First author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society brace studies criteria. A retrospective analysis of medical records of 2705 girls treated from 1989 to 2002 was carried out. Methods: Age, Cobb, Risser and menarchal status were analyzed for compliance with the Scoliosis Research Society brace studies criteria: a) age ≥10 years, b) Risser 0–2, c) 25–40° Cobb angle, d) no earlier treatment, e) patients before first menses or not more than one year from first menses. Results: It has been found that 183 girls out of 2705 were ≥10 years old and in the range 25–40° Cobb angle. One hundred two out of 2705 patients revealed eligible for brace effectiveness study according to SRS 2005 criteria. 120 out of 2705 patients revealed eligible for brace brace effectiveness study according to SRS-SOSORT 2014 criteria. Conclusion: The excluded patients revealed too old or with too significant Cobb angles. This indicates the changing criteria for scoliosis brace treatment over the time. Direct comparison of current results of brace treatment with historical series of cases turns out to be very difficult. Keywords: Idiopathic scoliosis, SRS criteria, Brace treatment
Background The initial idea of the work was to evaluate results of Idiopathic Scoliosis (IS) brace treatment performer at one outpatient clinic in the years 1989–2002. First author attempted to analyse medical records of patients with idiopathic scoliosis for compliance with the Scoliosis Research Society 2005 brace studies criteria. In 2015, the SRS-SOSORT Consensus modified those criteria by excluding the 1-year post-menarche limit as the inclusion criterion [1]. The research on the effectiveness of the * Correspondence: [email protected] 1 Rehasport Clinic, Górecka 30, Poznan 60-476, Poland Full list of author information is available at the end of the article
brace treatment in IS according to different criteria were carried out. In 1995 Nachemson, Peterson [2] as experts of Scoliosis Research Society presented the results of brace treatment for 286 girls followed through the prospective assessment. The inclusion criteria were: a) female sex, b) diagnosed idiopathic scoliosis, c) bone age between 10–15 years, d) single curvature with apex between 8th thoracic vertebra and 1st lumbar vertebra, e) 25–35° Cobb angle [2]. Also in 1995, Olafsson et al published a retrospective assessment of the effectiveness of Boston brace treatment in 64 patients, 61 girls (95.3 %) and three boys (4.7 %). The inclusion criteria were: at least one year to gr
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