Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature
Currently, adolescent idiopathic scoliosis (AIS) is principally regarded as benign, but some researchers have cited serious or extreme effects, including severe pain, cardiopulmonary compromise, social isolation, and even early death. Therefore, exploration of the long-term effects of AIS, the most...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2016-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-10-1163.pdf |
| _version_ | 1819034637205241856 |
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| author | Hans-Rudolf Weiss Nikos Karavidas Marc Moramarco Kathryn Moramarco |
| author_facet | Hans-Rudolf Weiss Nikos Karavidas Marc Moramarco Kathryn Moramarco |
| author_sort | Hans-Rudolf Weiss |
| collection | DOAJ |
| description | Currently, adolescent idiopathic scoliosis (AIS) is principally regarded as benign, but some researchers have cited serious or extreme effects, including severe pain, cardiopulmonary compromise, social isolation, and even early death. Therefore, exploration of the long-term effects of AIS, the most common type of idiopathic scoliosis, is warranted. The purpose of this review was to examine the long-term studies on the natural history of AIS and/or reviews concerning the long-term effects of untreated AIS. A PubMed search was conducted using the key words idiopathic scoliosis, long-term effects and idiopathic scoliosis, natural history. For further analysis, references cited in those studies were reviewed for additional, related evidence not retrieved in the initial PubMed search. A review of the pertinent bibliography showed that older natural history studies did not distinguish between late-onset scoliosis (referred to in this paper as AIS) and early-onset scoliosis (EOS). The more recent studies offer such important distinction and reach to the general conclusion that untreated AIS does not lead to severe consequences with respect to signs and symptoms of scoliosis. It is possible that earlier studies may have included patient populations with EOS, leading to the perception of untreated scoliosis as having an unusually high morbidity rate. Studies on the long-term effects of AIS that specifically excluded EOS patients conclude that AIS is a benign disorder. This indicates that for research and reporting purposes, it is important to distinguishing between AIS and EOS. This will allow the practitioner and patient and their families to decide on an optimal treatment plan based on the most appropriate prognosis. |
| first_indexed | 2024-12-21T07:36:54Z |
| format | Article |
| id | doaj.art-eae2bad12bea4cc9bb6934be63449fb3 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-12-21T07:36:54Z |
| publishDate | 2016-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-eae2bad12bea4cc9bb6934be63449fb32022-12-21T19:11:26ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462016-12-011061163116910.4184/asj.2016.10.6.116343Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the LiteratureHans-Rudolf Weiss0Nikos Karavidas1Marc Moramarco2Kathryn Moramarco3Gesundheitsforum Nahetal, Gensingen, Germany.Scoliosis Best Practice Rehab Services, Athens-Thessaloniki, Greece.Scoliosis 3DC, 3 Baldwin Green Common, Woburn, MA, USA.Scoliosis 3DC, 3 Baldwin Green Common, Woburn, MA, USA.Currently, adolescent idiopathic scoliosis (AIS) is principally regarded as benign, but some researchers have cited serious or extreme effects, including severe pain, cardiopulmonary compromise, social isolation, and even early death. Therefore, exploration of the long-term effects of AIS, the most common type of idiopathic scoliosis, is warranted. The purpose of this review was to examine the long-term studies on the natural history of AIS and/or reviews concerning the long-term effects of untreated AIS. A PubMed search was conducted using the key words idiopathic scoliosis, long-term effects and idiopathic scoliosis, natural history. For further analysis, references cited in those studies were reviewed for additional, related evidence not retrieved in the initial PubMed search. A review of the pertinent bibliography showed that older natural history studies did not distinguish between late-onset scoliosis (referred to in this paper as AIS) and early-onset scoliosis (EOS). The more recent studies offer such important distinction and reach to the general conclusion that untreated AIS does not lead to severe consequences with respect to signs and symptoms of scoliosis. It is possible that earlier studies may have included patient populations with EOS, leading to the perception of untreated scoliosis as having an unusually high morbidity rate. Studies on the long-term effects of AIS that specifically excluded EOS patients conclude that AIS is a benign disorder. This indicates that for research and reporting purposes, it is important to distinguishing between AIS and EOS. This will allow the practitioner and patient and their families to decide on an optimal treatment plan based on the most appropriate prognosis.http://www.asianspinejournal.org/upload/pdf/asj-10-1163.pdfScoliosisLong-term adverse effectsTreatment |
| spellingShingle | Hans-Rudolf Weiss Nikos Karavidas Marc Moramarco Kathryn Moramarco Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature Asian Spine Journal Scoliosis Long-term adverse effects Treatment |
| title | Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature |
| title_full | Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature |
| title_fullStr | Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature |
| title_full_unstemmed | Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature |
| title_short | Long-Term Effects of Untreated Adolescent Idiopathic Scoliosis: A Review of the Literature |
| title_sort | long term effects of untreated adolescent idiopathic scoliosis a review of the literature |
| topic | Scoliosis Long-term adverse effects Treatment |
| url | http://www.asianspinejournal.org/upload/pdf/asj-10-1163.pdf |
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