Juvenile idiopathic scoliosis followed to skeletal maturity

Robert E. Mannherz, Randal R. Betz, Michael Clancy, Howard H. Steel

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

The authors reviewed 43 patients with the onset of Idiopathic scoliosis between 4 and 9 years who were followed to skeletal maturity to document the natural history, effects of bracing, and factors associated with progression. Average age at onset was 7.1 years for female and 6.7 for male patients. Twelve were treated with observation only; six improved, five progressed, and one refused an orthosis and required surgery. Thirty-one patients wore an orthosis; five patients improved or were unchanged, and 26 progressed, including 13 who subsequently required surgery. All patients treated with observation had a rib vertebral angle difference (RVAD) of less than 10°; whereas patients progressing despite orthosis and all but one patient requiring operation had an RVAD greater than 10°. Thoracic hypokyphosis (<20°) was present in 20% of observed patients, 64% of those treated with an orthosis, and 78% of those requiring operation.

Original languageEnglish
Pages (from-to)1087-1090
Number of pages4
JournalSpine
Volume13
Issue number10
DOIs
StatePublished - Oct 1988
Externally publishedYes

Keywords

  • Juvenile idiopathic scoliosis
  • Rib vertebral angle difference
  • Thoracic hypokyphosis

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