Evolution of adolescent idiopathic scoliosis: Results of a multicenter study at 20 years’ follow-up

Abstract

IV, retrospective study.

Brace treatment in adolescent idiopathic scoliosis: risk factors for failure—a literature review

“…These findings are in agreement with Pesenti et al [43] who showed that corrective surgery in adulthood involves a significant larger number of vertebrae (10.7 vs. 9.7), with a much higher probability (38%) of L5 or pelvis involvement for Lenke 5 patients.…”

“…Similar findings were reported by Pesenti et al [43] who demonstrated that lumbar curves reaching skeletal maturity with a Cobb angle of >35˚where at a significantly higher risk for 20˚aggravation (51% vs. 37.5% for those whose curves were <35˚at maturity) and that 77% of the curves that progressed more than 20˚were >35˚at skeletal maturity. The authors concluded that when Cobb angle exceeded 40˚at the end of growth, deformity was progressive, with an increase of 23.3˚in Cobb angle over 26 years' followup.…”

“…When attempting to quantify the progression risk for patients that are Risser 0 AND above 30˚to 40˚AND who are noncompliant, it is important to consider that most of these numbers are based on 50˚success cut off, whereas there is a significant concern that many of the 45˚patients will actually progress to 50˚in a short period of time [8,38,39]. If 45˚was used as a success cut off, the numbers may have been significantly higher.…”

“…Two articles identified thoracic curves to have a higher probability of progression than other curve types [6,21]. Thompson 39]). The risk of main thoracic curves to progress was also demonstrated on a sample of 68 braced patients by Sun et al [21].…”

Utility of gabapentin in meeting physical therapy goals following posterior spinal fusion in adolescent patients with idiopathic scoliosis

“…A study by Pesenti et al reported that of 258 patients diagnosed with adolescent idiopathic scoliosis, 100 (39%) patients required surgical intervention in childhood, and 40 patients (16%) required surgery in adulthood following untreated curve progression. The authors concluded that spinal fusion surgery in adolescents provided long‐lasting curve correction and improved quality of life scores in patients who underwent spinal surgery . Despite the effectiveness of the operation, surgical posterior spinal fusion for the treatment of scoliosis causes severe postoperative pain.…”