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Der Orthopäde

, Volume 42, Issue 11, pp 922–927 | Cite as

Behandlung der jugendlichen idiopathischen Skoliose mittels Korsett

Eine retrospektive Studie und Analyse nach SRS-Kriterien
  • C. Heidt
  • E. Kong
  • I. Torode
  • J. Balakumar
Originalien

Zusammenfassung

Hintergrund

Ziel dieser Studie war es, Patienten mit jugendlicher idiopathischer Skoliose („adolescent idiopathic scoliosis“, AIS), welche am Royal Children’s Hospital in Melbourne mittels Korsett behandelt wurden, anhand der Scoliosis-Research-Society(SRS)-Kriterien zu analysieren.

Patienten und Methoden

Über den ausgewerteten Zeitraum eines Jahres wurden 125 Patienten mittels Korsett behandelt, 52 (42 %) hiervon erfüllten die SRS-Einschlusskriterien. Die Auswertung erfolge 6 Monate bzw. ein Jahr nach Abschluss der Therapie.

Ergebnisse

Das Durchschnittsalter bei Therapiebeginn betrug 13,1 Jahre und der durchschnittliche Cobb-Winkel 31,8°. Neununddreißig (76 %) Patienten wurden erfolgreich behandelt und eine Progression der Skoliose verhindert. Bei 26 dieser Patienten (51 %) erzielten wir eine Verbesserung des Kurvenwinkels. Sechs Patienten (12 %) benötigten eine operative Therapie und 7 (14 %) wiesen nach Abschluss der Skelettreife eine Kurve von mehr als 45° auf.

Schlussfolgerung

Unsere Ergebnisse bestätigen die Effektivität der konservativen Behandlung der AIS. Die SRS-Kriterien ermöglichen eine bessere Vergleichbarkeit mit anderen Studien. Hierdurch lässt sich die Patientenpopulation, welche von dieser Art der Therapie profitiert, klar festlegen.

Schlüsselwörter

Konservative Behandlung Brace Orthese Retrospektive Studie Evidenzbasierte Medizin 

Brace treatment of adolescent idiopathic scoliosis

A retrospective study and analysis according to the SRS criteria

Abstract

Background

The purpose of this study was to analyze patients with adolescent idiopathic scoliosis (AIS) treated with bracing at The Royal Children’s Hospital in Melbourne Australia according to the Scoliosis Research Society (SRS) criteria and evaluate the effectiveness of this treatment method.

Patients and methods

During the 1 year survey 125 patients with AIS were treated with bracing and 52 (42 %) of those fulfilled the SRS criteria. Measurements were performed according to the follow-up visits at 6 and 12 months.

Results

The mean age of the patients was 13.1 years and the mean Cobb angle at the start of therapy was 31.8°. Thirtynine (76 %) patients were treated successfully and an improvement of the Cobb angle was achieved in 26 (51 %) patients. A further 6 patients (12 %) required surgery and 7 (14 %) showed a Cobb angle of more than 45° after reaching skeletal maturity.

Conclusion

The results show the effectiveness of bracing as a treatment method for patients with AIS. The SRS criteria provide good guidance to classify patients who are likely to benefit from this treatment. A better comparison of the outcome with other studies can be achieved by using these criteria.

Keywords

Conservative treatment Bracing Orthosis Retrospective study Evidence-based medicine 

Notes

Acknowledgement

Wir danken Herrn St. Dierauer für die kritische Durchsicht des Manuskripts.

Einhaltung ethischer Richtlinien

Interessenkonflikt. C. Heidt, E. Kong, I. Torode, J. Balakumar geben an, dass kein Interessenkonflikt besteht. Alle angewandten Verfahren stehen im Einklang mit den ethischen Normen der verantwortlichen Kommission für Forschung am Menschen (institutionell und national) und mit der Deklaration von Helsinki von 1975 in der revidierten Fassung von 2008.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department für pädiatrische OrthopädieThe Royal Children’s Hospital Melbourne, Murdoch Children’s Research InstituteParkvilleAustralien

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