Adolescent idiopathic scoliosis (AIS) non-operative treatment in HUCSK of Kosova- a 7 month study

Abstract

Introduction: Scoliosis is defined as a deviation from midline in the frontal plane, and rotation of the apex of the curve from more than 10 degrees, in AP radiography. Treatment of scoliosis is based in type of scoliosis, region of scoliotic curve, curve magnitude, bone maturity, gender, risk of scoliotic curve progression, other symptoms like and opinion of the patient about his spine shape. Treatment choices of AIS are observation, physical therapy, corsets and surgical treatment. Purpose: Research of patients with AIS focusing in its characteristics, clinical presentation, diagnosis and a detalized research in non-operative treatment of AIS focusing in treatment choices and criteria of treatment. Material and methods: The study is based in retrospective research September 2018- March 2019 (7 months) in HUCSK- Specialized outpatient clinics of Orthopaedics. Data is taken with special permission from Personal Data Protection Office and Ethico-Professional Commity from specialized outpatient clinics of Orthopaedics systems archive for patients with AIS of 10-18 years old. Results: During September 2018-March 2019 period in specialized outpatient clinics of Orthopaedics-HUCSK, 250 cases with AIS of 10-18 years old with Cobb angle more than 10 degrees; are diagnosed and treated. The disease has a prevalence 1.40%. Based in gender women are more affected than men in a ratio 2.01:1. Most common form of AIS is the one that affects thoraco-lumbal region of spine with 60.8% of cases. There has been found a correlation between scoliosis and kyphosis in higher levels of spine. About 89.7% of cases are light scoliotic curves according to Cobb angle and the female \\ male ratio increases at women with an increase of Cobbs angle. Patients are treated with one or more forms of non-operative treatment: observation 10.4% of cases, observation and physical therapy 89.6% of cases and observation, physical treatment and corset TLSO 25.6% of cases. Cases that have undergone three forms of non-operative treatment are with Cobb angle of more than 20 degrees.