Abstract
Materials and methods Observational retrospective study. We enrolled 76 patients (65 females and 11 males) present in our database since 2003, with diagnosis of JIS. Mean age at first diagnosis was 6.37± 1.4. We considered as main indirect clinical sign of PGS the quick height growth (more than 5 cm in six months) while Risser test 1, menarche and sharp growth slowing down (2 cm in six months) were considered signs of the end of PGS. According to individual needs patients were already in treatment with physical exercises alone or with brace and physical exercises. We also clustered Risser test 0 patients in 3 groups based on Cobb degrees (under 20° , from 20° to 30° and over 30° ) and we observed radiographic modification during PGS. Outcome criteria: radiographic (Cobb degrees) and clinical (Bunnel, ATR, TRACE) parameters in PGS period; need to increase treatment load.
Highlights
Juvenile idiopathic scoliosis (JIS) is characterized by an early deformity, first diagnosed between the ages of 4 and 10, that often leads to an extremely variable progression during the pubertal growth spurt (PGS)
We considered as main indirect clinical sign of PGS the quick height growth while Risser test 1, menarche and sharp growth slowing down (2 cm in six months) were considered signs of the end of PGS
51.3 % of patient worsened during PGS more than 6 Cobb degrees and the doctor decided for a treatment more effective: 28% of worsened patient changed from physical exercises to a brace
Summary
Juvenile idiopathic scoliosis (JIS) is characterized by an early deformity, first diagnosed between the ages of 4 and 10, that often leads to an extremely variable progression during the pubertal growth spurt (PGS).
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