Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature

Currently, adolescent idiopathic scoliosis (AIS) is principally regarded as benign, but some researchers have cited serious or extreme effects, including severe pain, cardiopulmonary compromise, social isolation, and even early death. Therefore, exploration of the long-term effects of AIS, the most common type of idiopathic scoliosis, is warranted. The purpose of this review was to examine the long-term studies on the natural history of AIS and/or reviews concerning the long-term effects of untreated AIS. A PubMed search was conducted using the key words idiopathic scoliosis, long-term effects and idiopathic scoliosis, natural history. For further analysis, references cited in those studies were reviewed for additional, related evidence not retrieved in the initial PubMed search. A review of the pertinent bibliography showed that older natural history studies did not distinguish between late-onset scoliosis (referred to in this paper as AIS) and early-onset scoliosis (EOS). The more recent studies offer such important distinction and reach to the general conclusion that untreated AIS does not lead to severe consequences with respect to signs and symptoms of scoliosis. It is possible that earlier studies may have included patient populations with EOS, leading to the perception of untreated scoliosis as having an unusually high morbidity rate. Studies on the long-term effects of AIS that specifically excluded EOS patients conclude that AIS is a benign disorder. This indicates that for research and reporting purposes, it is important to distinguishing between AIS and EOS. This will allow the practitioner and patient and their families to decide on an optimal treatment plan based on the most appropriate prognosis

Cross-cultural validation of the Italian Spine Youth Quality of Life questionnaire: the ISYQOL international

Questionnaire; Quality of life; SpineQüestionari; Qualitat de vida; Columna vertebralCuestionario; Calidad de vida; Columna vertebralBACKGROUND: Adolescent idiopathic scoliosis and its treatments can severely impact health-related quality of life. The Italian Spine Youth Quality of Life (ISYQOL) questionnaire, initially developed in Italian and tested on Italian people, was created to measure quality of life in young persons with spine changes. ISYQOL was created using the Rasch analysis, a modern psychometric technique for questionnaires’ assessment and development, which showed that the ordinal scores of the ISYQOL Italian version provide sound quality of life measures. AIM: The current work aims to evaluate the cross-cultural equivalence of the ISYQOL questionnaire in seven different countries. DESIGN: Cross-sectional, international, multi-centre study. SETTING: Outpatient clinic. POPULATION: Five hundred fifty persons with adolescent idiopathic scoliosis from English Canada, French Canada, Greece, Italy, Spain, Poland, and Türkiye. METHODS: The ISYQOL Italian version was translated into six languages with the forward-backwards procedure. The conceptual equivalence of the items’ content was verified, and any inconsistency was resolved by consensus. The Rasch analysis was used here to evaluate that ISYQOL translations retained the good measurement properties of the Italian version of the questionnaire. In addition, the Differential Item Functioning (DIF) was checked to assess the psychometric equivalence of the ISYQOL items in patients from different countries. RESULTS: Four items of the translated ISYQOL were dropped from the questionnaire since they did not contribute to measuring due to their poor fit to the model of Rasch. Seven items were affected by DIF for nationality, a finding pointing out that these items do not work the same (i.e. are not equivalent) in the different countries. Thanks to the Rasch analysis, the DIF for nationality was amended, and ISYQOL International was eventually obtained. CONCLUSIONS: ISYQOL International returns interval quality of life measures in people with adolescent idiopathic scoliosis with high cross-cultural equivalence in the tested countries. CLINICAL REHABILITATION IMPACT: Rigorous testing showed that ISYQOL International ordinal scores return quality of life measures cross-culturally equivalent in English and French Canada, Greece, Italy, Spain, Poland, and Türkiye. A new, psychometrically sound patient-reported outcome measure is thus available in rehabilitation medicine to measure health-related quality of life in idiopathic scoliosis.For the ISYQOL French version, Claudie Forest received a grant awarded by the Programme d’Excellence en Médecine pour l’Initiation En Recherche (PREMIER) from the School of Rehabilitation at University of Montreal and Carole Fortin was supported by a Junior 1 salary award from Fonds de Recherche du Québec - Santé (FRQS). Antonio Caronni was supported by the IRCCS Istituto Auxologico Italiano – Milano, Italia, within the RESET research project (Ricerca Corrente 2020, Italian Ministry of Health)

Brace and Physiotherapeutic Scoliosis Specific Exercises (PSSE) for Adolescent Idiopathic Scoliosis (AIS) treatment: a prospective study following Scoliosis Research Society (SRS) criteria

Abstract Background A growing scientific evidence for conservative treatment of AIS has recently proved that bracing is superior to natural history. Our aim was to investigate the effectiveness of a combined treatment with brace and PSSE for AIS. Methods Prospective study, following SRS research inclusion criteria (> 10 years, 25ο – 40ο, Risser 0–2,  5ο (23.2%) and 11 progressed (11.5%). In-brace correction (IBC) was 49.7% for thoracic and 61.7% for lumbar curves. Analysis of progressed cases revealed that IBC (31.7% for thoracic and 34.4% for lumbar curves) and compliance (81.8% C for brace, 63.6% C for PSSE) was lower than average. Group A for treatment compliance (65.3%), showed significantly better results (70.9% stable, 29.1% improved, 0% progressed). Conclusion A combination of bracing and PSSE can effectively treat AIS, according to SRS inclusion criteria. 88.5% of patients avoided progression > 5ο and only 6.4% overpassed 40ο. IBC and compliance are the most important prognostic factors for successful treatment result. Early detection of AIS is also necessary for increased possibilities of effective conservative treatment

The correlation between clinical and epidemiological characteristics of adolescents with idiopathic scoliosis and their quality of life: A pilot cross-sectional study

Introduction:Bracing and physiotherapy in Adolescent idiopathic scoliosis, are closely linked to heightened levels of psychological distress.Objective:The objective of this study is to investigate the relationship between the clinical and epidemiological characteristics of AIS patients and their quality of life.Subjects and Methods: This study encompassed 60 patients aged 13.85 ± 1.87 years,exhibiting mild to severe AIS. All subjects adhered to a Schroth exercise program for a minimum of three months, with 26 of them additionally undergoing conservative treatment with braces. Each participant completed the ISYQOL questionnaire and an individual form detailing clinical and epidemiological characteristics. Results:A notable correlation was observed concerning the use of braces.Patients utilizing a brace demonstrated higher ISYQOL scores,indicating a lower HRQoL,compared to those exclusively following Schroth exercise programs. HRQoL exhibited positive correlations with the age at diagnosis,height,age at menstruation onset, and duration of Schroth exercise treatment. HRQoL displayed negative correlations with age,weight,duration of brace treatment, maximum angle trunk rotation , and maximum Cobb angle. The study indicated that lumbar curves were associated with a higher QoL.Conclusions:The use of a brace was found to have a negative impact on HRQoL.

12Th International Conference On Conservative Management Of Spinal Deformities – Sosort 2015 Annual Meeting

O1 The functional properties of paraspinal muscles in adolescents with idiopathic scoliosis (AIS): A systematic review of the literature, Eric Parent, Alan Richter, O2 The importance of the lateral profile in the treatment of idiopathic scoliosis, Angelo Gabriele Aulisa, Vincenzo Guzzanti, Paolo Pizzetti, Andrea Poscia, Lorenzo Aulisa, O3 Radiological outcome in Adolescent idiopathic scoliosis patients 20 years after treatment, Ane Simony, Steen Bach Christensen, Mikkel O Andersen, O4 Junctional Kyphosis, how can we detect and monitor it during growth?, Alessandra Negrini, Sabrina Donzelli, Laura Maserati, Fabio Zaina, Jorge H Villafane, Stefano Negrini, O5 Usefulness of the clinical measure of trunk imbalance in adolescent idiopathic scoliosis, Carole Fortin, Erin Grunstein, Hubert Labelle, Stefan Parent, Debbie Ehrmann Feldman, O6 Can ultrasound imaging be used to determine curve flexibility when designing spinal orthoses?, Edmond Lou, Rui Zheng, Doug Hill, Andreas Donauer, Melissa Tilburn, Jim Raso, O7 Reliability of the Schroth curve type classification in adolescents with idiopathic scoliosis (AIS), Sanja Schreiber, Eric Parent, Greg Kawchuk, Douglas Hedden, O8 Can Trunk Appearance Perception Scale (TAPS) be used as a descriptive tool of scoliosis severity?, Judith Sánchez-Raya, Antonia Matamalas Adrover, Elisabetta D’Agata, Joan Bagó Granell, O9 Magnitude of the Cobb angle on an X-ray in relation to the angle of trunk rotation in children who come to the “Troniny” Scoliosis Treatment Centre, Marek Kluszczynski, Anna Kluszczyńska, Jacek Wąsik, Marta Motow-Czyż, Adam Kluszczyński, O10 Cobb angel measurement without X-ray, a novel method, Ane Simony, Karen Hojmark Hansen; Hanne Thomsen; Mikkel Meyer Andersen; Morten Vuust, O11 The postural tone magnitude and distribution in patients diagnosed with an adolescent idiopathic scoliosis: a preliminary study, Irmina Blicharska, Jacek Durmała, Bartosz Wnuk, Małgorzata Matyja, O12 From studies on the function of the respiratory system in children with body posture defects, Andrzej Szopa, Małgorzata Domagalska-Szopa, Weronika Gallert-Kopyto, Tomasz Łosień, Ryszard Plintla, O13 Scoliosis as the “first” sign of various diseases, Franz Landauer, Karl Vanas, O14 The effectiveness of core stabilization exercises versus conventional exercises in addition to brace wearing in patients with adolescent idiopathic acoliosis, Gozde Gur, Necdet Sukru Altun, Yavuz Yakut, O15 The effect of physiotherapy techniques on the body balance in patients with scoliosis treated with corrective appliances, Piotr Gawda, Piotr Majcher, O16 New combine method treating AIS – preliminary results, Lior Neuhaus Sulam, O17 Does a 4-week intensive course of ScolioGold therapy reduce angle of trunk rotation in scoliotic patients: a retrospective case series., Michael Bradley, David Glynn, Alex Hughes, Erika Maude, Christine Pilcher, O18 Schroth physiotherapy method without bracing is an effective treatment for scoliosis in improving curves and avoiding surgery and should be offered as a treatment option for scoliosis in Canada: case series, Andrea Lebel, Victoria Ashley Lebel, Judit Orbán, O19 Rotation of the trunk and pelvis and coupled movements in the sagittal plane in double support stance in adolescent girls with idiopathic scoliosis, Agnieszka Stępień, Krzysztof Graff, O20 Curve progression analysis in Risser 0 patients orthotically managed with compliance monitors, D. Speers, O21 Conservative treatment in Scheuermann’s kyphosis: comparison between lateral curve and variation of the vertebral geometry, Angelo Gabriele Aulisa, Vincenzo Guzzanti, Giuseppe Mastantuoni, Andrea Poscia, Lorenzo Aulisa, O22 The plaster cast in the conservative treatment of idiopathic scoliosis can still play a positive role?, Angelo Gabriele Aulisa, Vincenzo Guzzanti, Francesco Falciglia, Andrea Poscia, Lorenzo Aulisa, O23 Bracing for Adolescent Idiopathic Scoliosis (AIS) and Scheuermann Kyphosis : The issue of overtreatment in Greece, Nikos Karavidas, O24 Efficacy of Milwaukee brace for correction of scheurmann kyphosis, Mohammadreza Etemadifar, O25 The three dimensional analysis of the Sforzesco brace correction, Sabrina Donzelli, Fabio Zaina, Monia Lusini, Salvatore Minnella, Luca Balzarini, Stefano Respizzi, Stefano Negrini, O26 Quality of Life in adolescents with idiopathic scoliosis: A comparison measured by the Kidscreen 27 between scoliotic patients and healthy controls, Kathrin Güttinger, O27 The degree of illness acceptance in young women with idiopathic scoliosis treated with orthopedic braces: a preliminary study, Jacek Durmała, Irmina Blicharska, Agnieszka Drosdzol–Cop, Violetta Skrzypulec–Plinta, O28 Which are the personality traits of the patients with Adolescent Idiopathic Scoliosis?, Elisabetta D’Agata, Judith Sánchez-Raya, O29 How many Scolioses do exist in the same person? A zoom vision on the perception of the patient, Judith Sánchez-Raya, Elisabetta D’Agata, P1 The algorithm for the automatic detection of the pelvic obliquity based on analysis of the PA viev of the x-ray image, Sławomir Paśko, Wojciech Glinkowski, P2 Monitoring of spine curvatures and posture during pregnancy using surface topography – case study and method assessment, Jakub Michoński, Katarzyna Walesiak, Anna Pakuła, Robert Sitnik, Wojciech Glinkowski, P3 Spinal rotation under static and dynamic conditions: a prospective study comparing normative data vs. scoliosis, Helmut Diers, P4 The principle of non-surgical treatment of idiopathic scoliosis right-sided breast depending on the volatility of the formation of the intervertebral discs and vertebral bodies, Piotr Majcher, Piotr Gawda, P5 Unexpected late progression of adolescent idiopathic scoliosis treated with short-term, aggressive, full-time bracing and Schroth physiotherapy with excellent preliminary result: case study, Andrea Lebel, Victoria Ashley Lebel, P6 Visible posture in relation to the neuroanatomical and neurodynamical features in spinal deformations, Piet van Loon, Ruud van Erve, Andre Grotenhuis, P7 Immediate effects of scoliosis-specific corrective exercises on the Cobb angle after 1 week and after 1 year of practice, Karina Zapata, Eric Parent, Dan Sucato, P8 Retrospective analysis of idiopathic scoliosis medical records coming from one out-patient clinic for compatibility with Scoliosis Research Society criteria of brace treatment studies, Krzysztof Korbel, Mateusz Kozinoga, Łukasz Stoliński, Tomasz Kotwicki, P9 Adult female with severe progressive scoliosis possibly secondary to benign tumor removal at age 3 treated with scoliosis specific Schroth physiotherapy after refusing surgery: case study, Andrea Lebel, Victoria Ashley Lebel, P10 New aspects of scoliosis therapy planning and monitoring, Helmut Diers, P11 Outcome of intensive outpatient rehabilitation in an adult patient with M. Scheuermann evaluated by radiologic imaging – a case report, Hagit Berdishevsky, P12 The effectiveness of a Scoliosis Specific Home Exercise Program and bracing to reduce an idiopathic scoliosis curve with more than 90 % success in less than a year of exercises. Case report., Hagit BerdishevskyPubMe

13Th International Conference On Conservative Management Of Spinal Deformities And First Joint Meeting Of The International Research Society On Spinal Deformities And The Society On Scoliosis Orthopaedic And Rehabilitation Treatment – Sosort-Irssd 2016 Meeting

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