Kinder- und Jugendmedizin 2014; 14(06): 410-415
DOI: 10.1055/s-0038-1629243
Kinderorthopädie
Schattauer GmbH

Die konservative Behandlung der idiopathischen Adoleszenten -skoliose

The evolution of operative non-fusion treatment for early onset scoliosis
A. Schulze
1   Orthopädische Abteilung, Universitätskinderspital beider Basel/Schweiz
,
C. C. Hasler
1   Orthopädische Abteilung, Universitätskinderspital beider Basel/Schweiz
› Institutsangaben
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Publikationsverlauf

Eingereicht am: 20. Februar 2014

angenommen: am: 06. März 2014

Publikationsdatum:
31. Januar 2018 (online)

Zusammenfassung

Etwa 2 % aller Mädchen zwischen 12–14 Jahren leiden an idiopathischer Adolenszentenskoliose. Diese ist damit eine der häufigsten Erkrankungen in der Adoleszenz auf kinderorthopädischem Fachgebiet. Erstmals häufig den Eltern oder im Rahmen von Vorsorgeuntersuchungen auffallend, werden Kinderärzte, Hausärzte und Orthopäden mit einem der komplexesten Krankheitsbilder in der Kinderorthopädie konfrontiert. Die nachfolgende Arbeit liefert eine Übersicht des Krankheitsbildes, der Diagnostik und Therapieverfahren mit dem Ziel, der Sensibilisie-rung für die oft klinisch vom Patienten nicht wahrgenommene Symptomatik und frühzeitige Bahnung der notwendigen Therapie in die Hände von Fachleuten aus Orthopädie, Orthopädietechnik und Physiotherapie.

Summary

Approximately 2 % of the girls at the age between 12–14 years show an idiopathic adolescent scoliosis, which is one of the most common deformities at the adolescence in paediatric orthopedics. Typically first symptoms are recognized by their parents or by pediatricians, family doctors or orthopaedic surgeons in adolescence screening. The following paper gives an overview of the pathogenesis, diagnostics and treatment intended to increase the sensitivity for the symptoms and provide an early treatment of a deformity which often remains unrecognized by the patients. The early referral to experts in the field of paediatric orthopaedics, brace manufacturing and physiotherapy is crucial.

 
  • Literatur

  • 1 Murrell GA, Coonrad RW, Moorman 3rd CT, Fitch RD. An assessment of the reliability of the Scoliometer. Spine 1993; 18: 709-712. PubMed PMID: 8516699.
  • 2 Lenke LG, Betz RR, Haher TR. et al. Multisurgeon assessment of surgical decision-making in adolescent idiopathic scoliosis: curve classification, operative approach, and fusion levels. Spine 2001; 6: 2347-2353. PubMed PMID: 11679820.
  • 3 Rogala EJ, Drummond DS, Gurr J. Scoliosis: incidence and natural history. A prospective epidemiological study. The Journal of bone and joint surgery American volume 1978; 60: 173-176. PubMed PMID: 641080.
  • 4 Inoue M, Minami S, Kitahara H. et al. Idiopathic scoliosis in twins studied by DNA fingerprinting: the incidence and type of scoliosis. The Journal of bone and joint surgery British volume 1998; 80: 212-217. PubMed PMID: 9546446.
  • 5 Guo X, Chau WW, Chan YL, Cheng JC. Relative anterior spinal overgrowth in adolescent idiopathic scoliosis. Results of disproportionate endochondral-membranous bone growth. The Journal of bone and joint surgery British volume 2003; 85: 1026-1031. PubMed PMID: 14516040.
  • 6 Porter RW. Idiopathic scoliosis: the relation between the vertebral canal and the vertebral bodies. Spine 2000; 25: 1360-1366. PubMed PMID: 10828917.
  • 7 Somerville EW. Rotational lordosis; the development of single curve. The Journal of bone and joint surgery British volume 1952; 34-B: 421-427. PubMed PMID: 12999923.
  • 8 Ascani E, Bartolozzi P, Logroscino CA. et al. Natural history of untreated idiopathic scoliosis after skeletal maturity. Spine 1986; 11: 784-789. PubMed PMID: 3810293.
  • 9 Bunnell WP. The natural history of idiopathic scoliosis before skeletal maturity. Spine 1986; 11: 773-776. PubMed PMID: 3810290.
  • 10 Weinstein SL, Ponseti IV. Curve progression in idiopathic scoliosis. The Journal of bone and joint surgery American volume 1983; 65: 447-455. PubMed PMID: 6833318.
  • 11 Little DG, Song KM, Katz D, Herring JA. Relationship of peak height velocity to other maturity indicators in idiopathic scoliosis in girls. The Journal of bone and joint surgery American volume 2000; 82: 685-693. PubMed PMID: 10819279.
  • 12 Weinstein SL, Zavala DC, Ponseti IV. Idiopathic scoliosis: long-term follow-up and prognosis in untreated patients. The Journal of bone and joint surgery American volume 1981; 63: 702-712. PubMed PMID: 6453874.
  • 13 Nicholson GP, Ferguson-Pell MW, Smith K. et al. The objective measurement of spinal orthosis use for the treatment of adolescent idiopathic scoliosis. Spine 2003; 28: 2243-2250. discussion 50-51. PubMed PMID: 14520038.
  • 14 Hasler CC, Wietlisbach S, Buchler P. Objective compliance of adolescent girls with idiopathic scoliosis in a dynamic SpineCor brace. Journal of children’s orthopaedics 2010; 4: 211-218. PubMed PMID: 21629374. Pubmed Central PMCID: 2866847.
  • 15 Nachemson AL, Peterson LE. Effectiveness of treatment with a brace in girls who have adolescent idiopathic scoliosis. A prospective, controlled study based on data from the Brace Study of the Scoliosis Research Society. The Journal of bone and joint surgery American volume 1995; 77: 815-822. PubMed PMID: 7782353.
  • 16 Sponseller PD. Bracing for adolescent idiopathic scoliosis in practice today. Journal of pediatric orthopedics 2011; 31 (Suppl. 01) Suppl S53-60. PubMed PMID: 21173620.
  • 17 Negrini S, Aulisa AG, Aulisa L. et al. 2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 2012; 7: 3 PubMed PMID: 22264320. Pubmed Central PMCID: 3292965.
  • 18 Negrini S, Fusco C, Minozzi S. et al. Exercises reduce the progression rate of adolescent idiopathic scoliosis: results of a comprehensive systematic review of the literature. Disability and rehabilitation 2008; 30: 772-785. PubMed PMID: 18432435.
  • 19 Negrini S, Negrini F, Fusco C, Zaina F. Idiopathic scoliosis patients with curves more than 45 Cobb degrees refusing surgery can be effectively treated through bracing with curve improvements. The spine journal : official journal of the North American Spine Society 2011; 11: 369-380. PubMed PMID: 21292562.
  • 20 Romano M, Minozzi S, Zaina F. et al. Exercises for adolescent idiopathic scoliosis: a Cochrane systematic review. Spine 2013; 38: E883-93. PubMed PMID: 23558442.
  • 21 Hasler C, Schmid C, Enggist A. et al. No effect of osteopathic treatment on trunk morphology and spine flexibility in young women with adolescent idiopathic scoliosis. Journal of children’s orthopaedics 2010; 4: 219-226. PubMed PMID: 21629373. Pubmed Central PMCID: 2866846.