Why We Treat Adolescent Idiopathic Scoliosis
Author Information
Author(s): Negrini Stefano, Grivas Theodoros B, Kotwicki Tomasz, Maruyama Toru, Rigo Manuel, Weiss Hans Rudolf
Primary Institution: ISICO (Italian Scientific Spine Institute), Milan, Italy
Hypothesis
To verify the philosophical choices on the final outcome of a group of people believing and engaged in a conservative treatment of idiopathic scoliosis.
Conclusion
A comprehensive evaluation of scoliosis patients is necessary to address their future and present needs, prioritizing aspects like aesthetics and quality of life over technical measurements.
Supporting Evidence
- The consensus procedure led to the inclusion of 9 new outcome criteria.
- Aesthetics was ranked as the most important outcome by 100% of participants.
- Quality of life and disability were also prioritized by over 90% of respondents.
- Back pain and psychological well-being were considered important by more than 80% of participants.
- Technical measurements like scoliosis Cobb degrees were deemed less important.
Takeaway
Doctors want to help kids with scoliosis feel better now and in the future, focusing on how they look and feel rather than just on X-rays.
Methodology
The study included a bibliometric analysis, a questionnaire, and a consensus reaching procedure among experts in conservative treatment of scoliosis.
Potential Biases
Potential bias due to the consensus process and the specific group of experts involved.
Limitations
The study may not fully represent the views of all practitioners in the field, as it was limited to SOSORT members.
Participant Demographics
Participants included members of the Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT) from various countries.
Statistical Information
P-Value
<0.01
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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