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

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

		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

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.
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.

ISSN: 2397-1789