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DOI: 10.1055/a-0968-7247
Adoleszente idiopathische Skoliosen – Klassifikationen
Adolescent idiopathic scoliosis – classifications![](https://www.thieme-connect.de/media/10.1055-s-00033104/202104/lookinside/thumbnails/80_cme_bullmann_10-1055-a-0968-7247-1.jpg)
Der Beitrag diskutiert die Möglichkeiten der Skolioseklassifikation. Die idiopathische Adoleszentenskoliose wird heutzutage nach Lenke klassifiziert. Die Lenke-Klassifikation bietet entscheidende Vorteile gegenüber der King-Klassifikation, die jedoch in der konservativen Skoliosetherapie noch Bedeutung hat. Zur Operationsplanung sind die Lenke-Klassifikation und das klinische Bild zusammen entscheidend.
Abstract
Still, the etiology of idiopathic scoliosis remains unclear, although a familial disposition exists. The classification according to Lenke is the most commonly used system. In conservative scoliosis therapy, the King classification is still important. Conservative therapy is indicated for a Cobb angle between 20° and 40° until the physical growth is complete. Surgery should be considerend for Cobb angles of 40° or 50° regardless of the patient’s age. Scoliosis surgery requires intensive planning within clear guidelines. The Lenke classification plays a decisive role.
Schlüsselwörter
Cobb-Winkel - Wirbelsäulenverkrümmung - Wirbelsäulenchirurgie - WirbelsäulendeformitätPublication History
Received: 08 November 2020
Article published online:
03 November 2021
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