{"id":6821,"date":"2022-06-16T02:40:47","date_gmt":"2022-06-16T02:40:47","guid":{"rendered":"https:\/\/scolicare.com\/louisville-kentucky\/research-review-the-prognosis-of-scoliosis-using-patient-specific-and-radiological-factors\/"},"modified":"2022-06-16T02:40:47","modified_gmt":"2022-06-16T02:40:47","slug":"research-review-the-prognosis-of-scoliosis-using-patient-specific-and-radiological-factors","status":"publish","type":"post","link":"https:\/\/scolicare.com\/louisville-kentucky\/research-review-the-prognosis-of-scoliosis-using-patient-specific-and-radiological-factors\/","title":{"rendered":"Research Review: The Prognosis of Scoliosis Using Patient Specific and Radiological Factors"},"content":{"rendered":"<p><strong>Rosemary Marchese, Physiotherapist<\/strong><\/p>\n<h2><span style=\"font-weight: 400\">Background\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400\">The risk factors for progression of idiopathic scoliosis are an important part of the history for a clinician and a patient. When dealing with adolescents in particular, there needs to be discussion around the predictive factors for progression so that parents and children can make an informed decision about treatment options. A systematic review by Lenz et al, (1) investigated the patient-specific and radiological predictive factors for curve progression in adolescents with idiopathic scoliosis.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Outcomes\u00a0<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-19907 alignright\" src=\"https:\/\/scolicare.com\/wp-content\/uploads\/2022\/06\/Untitled-design-2.jpg\" alt=\"\" width=\"474\" height=\"474\" \/><\/p>\n<p><span style=\"font-weight: 400\">This systematic review summarised the current state of knowledge in regards to progression of scoliosis. The top five list of identified risk factors influencing curve progression were:\u00a0<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Curve magnitude (initial presentation)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Skeletal maturity (Risser, SMS, proximal humerus, distal radius\/ulna)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Curve location (thoracic and double thoracic curve<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Age<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">State of menarche.\u00a0<\/span><\/li>\n<\/ol>\n<p><i><span style=\"font-weight: 400\">\u00a0Curve magnitude was the most relevant predictive factor.<\/span><\/i><\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-weight: 400\">Discussion\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Idiopathic scoliosis that progresses during adolescence can lead to surgical intervention. An algorithm for risk analysis of curve progression would be an important and useful tool for clinicians and families. The risk factors identified today are not unfamiliar, but the interaction between them and the impact on progression has not been identified. This systematic review summarised the\u00a0<\/span><\/p>\n<p>current literature as the basis for creation of patient specific algorithms regarding a risk calculation for a progressive scoliotic deformity.<\/p>\n<p><b>Reference:<\/b><\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Lenz M, Oikonomidis S, Harland A, F\u00fcrnstahl P, Farshad M, Bredow J, Eysel P, Scheyerer MJ. Scoliosis and Prognosis-a systematic review regarding patient-specific and radiological predictive factors for curve progression. Eur Spine J. 2021 Jul;30(7):1813-1822. doi: 10.1007\/s00586-021-06817-0. Epub 2021 Mar 26. PMID: 33772381.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33772381\/\"><span style=\"font-weight: 400\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33772381\/<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rosemary Marchese, Physiotherapist Background\u00a0 The risk factors for progression of idiopathic scoliosis are an important part of the history for a clinician and a patient. When dealing with adolescents in particular, there needs to be discussion around the predictive factors for progression so that parents and children can make an&hellip;<\/p>\n","protected":false},"author":1,"featured_media":6824,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[40],"tags":[24,18,74,16],"ppma_author":[84],"class_list":["post-6821","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-scoliosis","tag-adult","tag-bracing","tag-rehabilitation","tag-scoliosis"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Research Review: The Prognosis of Scoliosis Using Patient Specific and Radiological Factors &#8211; Louisville Kentucky<\/title>\n<meta name=\"robots\" content=\"noindex, follow\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Research Review: The Prognosis of Scoliosis Using Patient Specific and Radiological Factors &#8211; Louisville Kentucky\" \/>\n<meta property=\"og:description\" content=\"Rosemary Marchese, Physiotherapist Background\u00a0 The risk factors for progression of idiopathic scoliosis are an important part of the history for a clinician and a patient. 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