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Table 6 Practical Approach Scheme (PAS) for an Evidence Based Clinical Practice approach to Idiopathic Scoliosis (Strength of Evidence VI-Strength of Recommendation B).

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

   Cobb degrees 0-10 + hump 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 Over 50
Infantile   Min Ob6 Ob6 Ob3 SSB SSB SSB SSB SSB PTRB FTRB
   Max Ob3 Ob3 PTRB FTRB FTRB FTRB FTRB FTRB Su Su
Juvenile   Min Ob3 Ob3 Ob3 SSB SSB SSB PTRB PTRB PTRB FTRB
   Max PSE PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
Adolescent Risser 0 Min Ob6 Ob6 Ob3 PSE PSE SSB PTRB PTRB PTRB FTRB
   Max Ob3 PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
  Risser 1 Min Ob6 Ob6 Ob3 PSE PSE SSB PTRB PTRB PTRB FTRB
   Max Ob3 PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
  Risser 2 Min Ob8 Ob6 Ob3 PSE PSE SSB SSB SSB SSB FTRB
   Max Ob6 PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
  Risser 3 Min Ob12 Ob6 Ob6 Ob6 PSE SSB SSB SSB SSB FTRB
   Max Ob6 PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
  Risser 4 Min No Ob6 Ob6 Ob6 Ob6 Ob6 Ob6 Ob6 SSB FTRB
   Max Ob12 PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
  Risser 4-5 Min No Ob6 Ob6 Ob6 Ob6 Ob6 Ob6 Ob6 SSB FTRB
   Max Ob12 PSE PTRB FTRB FTRB FTRB FTRB FTRB Su Su
Adult No pain Min No No No No No No No No Ob12 Ob12
   Max Ob12 Ob12 Ob12 Ob12 Ob12 Ob12 Ob12 Ob12 Ob6 Ob6
  Chronic Pain Min No PSE PSE PSE PSE PSE PSE PSE PSE PSE
   Max PTRB PTRB PTRB PTRB PTRB Su Su Su Su Su
Elderly No pain Min No No No No No No No No Ob12 Ob12
   Max Ob12 Ob12 Ob12 Ob12 Ob12 Ob12 Ob12 Ob12 Ob6 Ob6
  Chronic Pain Min No PSE PSE PSE PSE PSE PSE PSE PSE PSE
   Max PTRB PTRB PTRB PTRB PTRB PTRB PTRB PTRB Su Su
  Decompensation Min No No PSE PSE PSE PSE PSE PSE PSE PSE
   Max PTRB PTRB PTRB PTRB PTRB PTRB PTRB PTRB Su Su
  1. For each single clinical situation reported in any single cell, a minimum and a maximum strength of treatment is listed. The graduation of strength of treatments have been reported in the Strength of Treatments Scheme in Table 8. Consequently, all treatments included between the minimum and maximum can be considered for that specific clinical situation.
  2. Obs 36/12/8/6/4: Observation every 36/12/8/6/4 months; PSE: Physiotherapeutic Specific Exercises; NTRB: Night-time Rigid Bracing (8-12 hours); SIR: Inpatient rehabilitation; SB: Soft bracing; PTRB: Part-Time Rigid Bracing (12-20 hours); FTRB: Full-time Rigid bracing (20-24 hours) or cast; Su: Surgery.