J. Phys. Ther. Sci. 30:680-684,2018
The Journal of Physical Therapy Science
Case Study
Is early treatment for mild adolescent idiopathic scoliosis superior over the traditional 'watch & wait' approach? A case report with long-term follow-up
PAUL A. OAKLEY
Private Practice: 11A-1100 Gorham Street, Newmarket, Ontario L3Y 8Y8, Canada
Abstract. [Purpose] To present a case of the complete correction of mild suspected adolescent idiopathic scoliosis in support of the argument that early aggressive treatment is superior to the traditional ‘watch & wait’ approach [Subject and Methods] A 9-year old female presented with a 14° thoracic curve indicative of early adolescent idiopathic scoliosis. The parents consented to immediate and early treatment with the SpineCor dynamic and corrective scoliosis brace. The brace was worn 20 hours per day and check-ups were performed every three months. [Result] The patient achieved complete correction of the thoracic curve with 9-months. The child was followed for 4.5 years until she approached near cessation of skeletal growth (Risser sight grade-4) at the age of 14 years, 4-months. The patient’s spine remained straight throughout the follow-up [Conclusion] This report as well as others suggests that the SpineCor bracing system is a unique and effective intervention for mild scoliosis. Further, this case illustrates and ideal outcome and supports the argument that initiating treatment at the earliest indication of suspected idiopathic scoliosis sould offer superior outcomes versus the traditional ‘watch & wait’ approach. Last radiation exposures associated with radiography for scoliosis treatment and management are negligible and not harmful.
Key words: Adolescent idiopathic scoliosis, Scoliosis brace. Watch and wait
(This articles was submitted Dec 12, 2017, and was accepted Feb 7, 2018)
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