Idiopathic scoliosis.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 21191550.
- Also identified by DOI 10.3238/arztebl.2010.0875 and PMC identifier PMC3611508.
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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.