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Table 5 Specific aims of conservative treatment during growth (Strength of Evidence VI-Strength of Recommendation C)

From: 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth

  

Adolescent Idiopathic Scoliosis up to 45°

Adolescent Idiopathic Scoliosis over 45°

Infantile and JuvenileIdiopathic Scoliosis

Radiographic aims

Primary

Below 25°

Below 35°

Below 25°

 

Secondary

Below 35°

No progression

Below 50°

Main aims

 

Avoid surgery

Improve aesthetics and quality of life

Reduce disability and pain

  1. Notes and definitions
  2. • Final results depend on the characteristics of the disease (progressive potential) and not only on the quality and quantity of treatment (that rely on the action of the whole team: physician, orthotist, therapist, family and patient)
  3. • Goals of treatment: what treating team would like to achieve in front of a specific clinical situation.
  4. • Main aims: pursued in all cases beyond Cobb degrees results
  5. • Primary aims: pursued at start of treatment, but not possible in all cases
  6. • Secondary aims: to be pursued if primary aims are not achievable, but also secondary aims are not always possible