Long-term Effects of Adolescent Idiopathic Scoliosis
Author Information
Author(s): Asher Marc A, Burton Douglas C
Primary Institution: University of Kansas Medical Center
Hypothesis
What are the natural history and long-term treatment effects of adolescent idiopathic scoliosis?
Conclusion
Adolescent idiopathic scoliosis does not increase mortality rates, but untreated patients may experience increased pain and decreased self-image.
Supporting Evidence
- Only about 10% of curves progress to the point that treatment is warranted.
- Most patients with untreated adolescent idiopathic scoliosis function at or near normal levels.
- Bracing can prevent 20% to 40% of curves from progressing.
- Surgery has significantly improved outcomes for severe curves.
- Pain prevalence is higher in scoliosis patients compared to controls.
- Self-image is often decreased in scoliosis patients.
Takeaway
Adolescent idiopathic scoliosis is a condition that can cause a curve in the spine, but most people with it live normal lives without serious problems.
Methodology
The study reviewed untreated and treated series of adolescent idiopathic scoliosis patients over long follow-up periods.
Potential Biases
Potential bias due to exclusion of patients who underwent surgery and those lost to follow-up.
Limitations
The study suffers from selection biases and low follow-up rates.
Participant Demographics
The study included both male and female patients, with a higher incidence in females for more severe curves.
Statistical Information
P-Value
0.001
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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