Table 7 Strength of Treatments Scheme (STS) (Strength of Evidence V-Strength of Recommendation B): it reports all the possible treatments that can be proposed for Idiopathic Scoliosis graduated from the less to the most demanding (both in terms of burden on the patient, and possible efficacy).

0

Nothing

1

Observation every 36 months

- Observation is clinical evaluation and not x-ray everytime

2

Observation every 12 months

- X-rays are usually performed once every two clinical evaluations, unless otherwise justified in the opinion of a clinician specialized in conservative treatment of spinal deformities

3

Observation every 8 months

4

Observation every 6 months

5

Observation every 3 months

6

Physiotherapeutic Specific Exercises (outpatient)

- The term "Physiotherapeutic" added to "Physiotherapeutic Specific Exercises" does not designate an exclusive professional proposing the exercises, but the general approach to the patient, that goes beyond the simple execution of exercises

7

Night-time Rigid Bracing (8-12 hours)

- According to the actual evidence it is not possible to define which treatment is more effective than the others between PSE (#6) and PTRB (#10), consequently the progressive numbers should be regarded only as a tool to be applied to the Practical Approach table and not as a classification approved by SOSORT members

8

Inpatient rehabilitation

9

Specific Soft Bracing

10

Part-Time Rigid Bracing (12-20 hours)

The use of a rigid brace always imply the associated use of Physiotherapeutic Specific Exercises

11

Full-time Rigid bracing (20-24 hours) or cast

12

Surgery

Max