Skip to content

Advertisement

Scoliosis and Spinal Disorders

What do you think about BMC? Take part in

Open Access

The skeletal maturity determination in idiopathic scoliosis

  • Leonardo Diogo1,
  • Joaquim Sancho2,
  • Elsa Marques2 and
  • Fernanda Filipe2
Scoliosis20094(Suppl 1):O2

https://doi.org/10.1186/1748-7161-4-S1-O2

Published: 15 January 2009

Introduction

In the Physical and Rehabilitation Medicine Service (PRMS) of Hospital Curry Cabral, Lisbon – Portugal, a protocol for idiopathic scoliosis follow-up was established. This protocol has both resemblances and discrepancies to the SOSORT approach approved by the Consensus Meeting 2005.

Objectives

To present the indications for brace treatment from the PRMS follow-up protocol and SOSORT guidelines. Outline a comparison of SOSORT and PRMS approaches.

Materials and methods

Analysis and comparison of the approach in two clinical cases of idiopathic scoliosis by the SOSORT guidelines and by the PRMS protocol.

Results

Clinical Case 1

By the SOSORT guidelines, there is an indication for brace treatment.

By the PRMS protocol, there is no indication for brace treatment.

Clinical Case 2

By the SOSORT guidelines, there is no indication for brace treatment.

By the PRMS protocol, there is an indication for brace treatment.

Conclusion

Clinical evidence supports the application of more variables in the treatment decision of whether to recommend brace wearing. Cobb angle, Risser sign and chronological age may not be enough. It is important to obtain other data from the observation of the patient, including a hand-wrist X-ray according to Greulich and Pyle Atlas.

Authors’ Affiliations

(1)
Centro de Medicina de Reabilitação de Alcoitão
(2)
Hospital Curry Cabral

References

  1. Sanders JO, Browne RH, McConnell SJ, Margraf SA, Cooney TE, Finegold DN: Maturity assessment and curve progression in girls with idiopathic scoliosis. J Bone Joint Surg Am. 2007, 89 (1): 64-73. 10.2106/JBJS.F.00067.View ArticlePubMedGoogle Scholar

Copyright

© Diogo et al; licensee BioMed Central Ltd. 2009

This article is published under license to BioMed Central Ltd.

Advertisement