Original Articles

THE EFFICIENCY OF ORTHOSIS TREATMENT AND FACTORS THAT AFFECTED TO MANAGEMENT IN THE LENKE TYPE I ADOLESCENT IDIOPATHIC SCOLIOSIS

  • Ahmet Özgür YILDIRIM
  • Yusuf Alper KATI
  • Özdamar Fuad ÖKEN
  • Murat GÜLÇEK
  • Ahmet UÇANER

Received Date: 01.08.2011 Accepted Date: 15.11.2011 J Turk Spinal Surg 2012;23(1):3-12

The definition of the scoliosis is precession of spinal column to lateral plane on coronal axis in conjunction with vertebral rotation. The treatment algorithm includes observation, brace treatment and surgery according to the curvature severity. This study was planned to investigate the efficacy of brace treatment and factors affected on treatment in Lenke type 1 adolescent idiopathic scoliosis.

Thirty two patients with Lenke type 1 adolescent idiopathic scoliosis were included in our study. The three of them were operated after the progression of the curvature severity. The degree of curvatures of the other patients was calculated before beginning the treatment and during the treatment. The degree of curvature was improved after the beginning of treatment like the bending graphics. The statistically significant differences were found among the all continuation measurements (p<0.005). When the beginning, at control and the last measurements of the curvature was evaluated, we determined that gender did not any efficacy to the treatment success (p>0.05). Also, we found that the type of scoliosis did not affect the efficacy of the treatment (p>0.05). We observed the degrees of the curvature were acceptable at the controls after the maturity.

In conclusion, we think that brace treatment is a preventive conservative treatment of adolescent idiopathic scoliosis. In spite of the difficulties of usage, the brace treatment has superiority on the other conservative treatment methods.

Keywords: Adolescent idopathic scoliosis, orthosis, conservative treatment