Adolescent idiopathic scoliosis: natural history and prognosis
Goldberg, C.J.; Moore, D.P.; Fogarty, E.E.; Dowling, F.E.
Studies in Health Technology and Informatics 91: 59-63
2002
ISSN/ISBN: 0926-9630 PMID: 15457694 Document Number: 547492
Retrospective review of the scoliosis database showed adolescent idiopathic scoliosis to be the most common but least significant variety of spinal deformity. Data from 112 girls diagnosed on repeat screening showed the importance of menarche as a date in the natural history. In the whole database, there were 514 aged at least 15 years at last review, 45 boys and 469 girls. Braces were prescribed for a total of 38, mostly during the early part of the period and gradually abandoned without an increase in surgical rate. Progression depended on the age and maturity of the patient as well as the initial Cobb angle. Surgery was recommended for 27% overall. A sub-group with more complete data diagnosed after bracing had been discontinued confirmed the findings.