Adoleszente idiopathische Skoliosen – Klassifikationen

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 - Wirbelsäulendeformität

Keywords

Cobb angle - spinal curvature - spinal surgery - spinal deformity

Publication History

Received: 08 November 2020

Article published online:
03 November 2021

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