EFFECTIVENESS OF NONSURGICAL TREATMENT FOR IDIOPATHIC SCOLIOSIS - OVERVIEW OF AVAILABLE EVIDENCE

被引：49

作者：

FOCARILE, FA

BONALDI, A

GIAROLO, MA

FERRARI, U

ZILIOLI, E

OTTAVIANI, C

机构：

[1] community Medicine Service, Unitâ Socio-Sanitaria Locale 32, Treviglio

[2] Department of Orthopaedic Surgery, Unitâ Socio-Sanitaria Locale 32, Treviglio

来源：

SPINE | 1991年 / 16卷 / 04期

关键词：

Follow-up studies; Natural history; Research; Scoliosis; Screening; Therapy;

D O I：

10.1097/00007632-199104000-00001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

To define further the effectiveness of nonsurgical therapy for idiopathic scoliosis, predefined criteria were established for selection and data retrieval from studies of therapy and natural history, and the results were synthesized quantitatively. Only studies of patients with no more than a 50-degrees Cobb angle scoliosis were considered. Twenty-four reports were eligible. There was a fivefold proportion of failures among patients with scoliosis > 30-degrees at the start of therapy but no difference in progression between different kinds of nonsurgical therapies or between treated and untreated patients; these were the main findings of this quantitative analysis. These data cannot be used to prove the effectiveness or ineffectiveness of nonsurgical therapy for idiopathic scoliosis, and experimental controlled studies of different therapies seem to be justified both on ethical and scientific grounds. The findings of this overview can be used for their planning.

引用

页码：395 / 401

页数：7

共 45 条

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