Adolescent idiopathic scoliosis (AIS) - an indication for surgery? A systematic review of the literature

Disability and Rehabilitation
Hans-Rudolf Weiss

Abstract

Historically, the treatment options for AIS, the most common form of scoliosis are: Exercises, in-patient rehabilitation, braces and surgery. While there is evidence in the form of prospective controlled studies that Scoliosis Intensive Rehabilitation (SIR) and braces can alter the natural history of the condition, there is no review on prospective controlled trials for surgical treatment. The aim of this review was to perform a systematic search of the Pub Med literature to reveal the evidence on scoliosis surgery. A systematic review has been performed using the Pub Med database. Literature has been searched for the outcome parameter; 'rate of progression' and only prospective controlled studies that have considered the treatment versus the natural history have been included. No controlled study, not in the short, mid or long term, searched within the review, has been found to reveal evidence to support the hypothesis that the effects of surgery as a treatment option for AIS is superior to natural history. No evidence has been found in terms of prospective controlled studies to support surgical intervention from the medical point of view. In the light of the unknown long-term effects of surgery and in concluding on the lack o...Continue Reading

References

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Citations

Dec 28, 2010·Scoliosis·Hans-Rudolf Weiss
Oct 2, 2008·Patient Safety in Surgery·Hans-Rudolf WeissEvalina Burger
Feb 5, 2011·The Spine Journal : Official Journal of the North American Spine Society·Stefano NegriniFabio Zaina
Aug 16, 2016·Scoliosis and Spinal Disorders·Hagit BerdishevskyJacek Durmala
Oct 23, 2014·Revista da Escola de Enfermagem da U S P·Maria Isabel Bonilla Carrasco, Maria Carmen Solano Ruiz
Dec 21, 2016·Asian Spine Journal·Hans-Rudolf WeissKathryn Moramarco
Apr 25, 2015·The Cochrane Database of Systematic Reviews·Josette Bettany-SaltikovTracey Arnell
Jun 25, 2016·Asian Spine Journal·Hans-Rudolf WeissKathryn Ann Moramarco
Jan 5, 2011·Journal of Pediatric Orthopedics·Edward R Westrick, W Timothy Ward
Jan 15, 2019·Journal of Back and Musculoskeletal Rehabilitation·Dror LeviDavid Ben-Sira
Sep 10, 2014·Journal of Physical Therapy Science·Yongnam Park, Youngsook Bae
May 1, 2014·Spine Deformity·Michael H WeberUNKNOWN Spinal Deformity Study Group
Jun 11, 2020·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Alisson R TelesCatherine E Ferland
Sep 16, 2016·Journal of Physical Therapy Science·Hans-Rudolf WeissMarc Moramarco
May 10, 2008·Disability and Rehabilitation. Assistive Technology·Stefano Negrini

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