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Article: Controversies with nonoperative management for adolescent idiopathic scoliosis: Study from the APSS Scoliosis Focus Group

TitleControversies with nonoperative management for adolescent idiopathic scoliosis: Study from the APSS Scoliosis Focus Group
Authors
Keywordsadolescent idiopathic scoliosis
AIS
bracing
nonoperative
Issue Date2020
PublisherSAGE Publications: Creative Commons. The Journal's web site is located at https://journals.sagepub.com/home/osj
Citation
Journal of Orthopaedic Surgery, 2020, v. 28 n. 2, p. article no. 230949902093029 How to Cite?
AbstractPurpose: To determine consensus among Asia-Pacific surgeons regarding nonoperative management for adolescent idiopathic scoliosis (AIS). Methods: An online REDCap questionnaire was circulated to surgeons in the Asia-Pacific region during the period of July 2019 to September 2019 to inquire about various components of nonoperative treatment for AIS. Aspects under study included access to screening, when MRIs were obtained, quality-of-life assessments used, role of scoliosis-specific exercises, bracing criteria, type of brace used, maturity parameters used, brace wear regimen, follow-up criteria, and how braces were weaned. Comparisons were made between middle–high income and low-income countries, and experience with nonoperative treatment. Results: A total of 103 responses were collected. About half (52.4%) of the responders had scoliosis screening programs and were particularly situated in middle–high income countries. Up to 34% obtained MRIs for all cases, while most would obtain MRIs for neurological problems. The brace criteria were highly variable and was usually based on menarche status (74.7%), age (59%), and Risser staging (92.8%). Up to 52.4% of surgeons elected to brace patients with large curves before offering surgery. Only 28% of responders utilized CAD-CAM techniques for brace fabrication and most (76.8%) still utilized negative molds. There were no standardized criteria for brace weaning. Conclusion: There are highly variable practices related to nonoperative treatment for AIS and may be related to availability of resources in certain countries. Relative consensus was achieved for when MRI should be obtained and an acceptable brace compliance should be more than 16 hours a day.
Persistent Identifierhttp://hdl.handle.net/10722/283734
ISSN
2020 Impact Factor: 1.118
2015 SCImago Journal Rankings: 0.458
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheung, JPY-
dc.contributor.authorCheung, PWH-
dc.contributor.authorShigematsu, H-
dc.contributor.authorTakahashi, S-
dc.contributor.authorKwan, MK-
dc.contributor.authorChan, CYW-
dc.contributor.authorChiu, CK-
dc.contributor.authorSakai, D-
dc.contributor.authorAPSS Scoliosis Focus Group,-
dc.date.accessioned2020-07-03T08:23:21Z-
dc.date.available2020-07-03T08:23:21Z-
dc.date.issued2020-
dc.identifier.citationJournal of Orthopaedic Surgery, 2020, v. 28 n. 2, p. article no. 230949902093029-
dc.identifier.issn1022-5536-
dc.identifier.urihttp://hdl.handle.net/10722/283734-
dc.description.abstractPurpose: To determine consensus among Asia-Pacific surgeons regarding nonoperative management for adolescent idiopathic scoliosis (AIS). Methods: An online REDCap questionnaire was circulated to surgeons in the Asia-Pacific region during the period of July 2019 to September 2019 to inquire about various components of nonoperative treatment for AIS. Aspects under study included access to screening, when MRIs were obtained, quality-of-life assessments used, role of scoliosis-specific exercises, bracing criteria, type of brace used, maturity parameters used, brace wear regimen, follow-up criteria, and how braces were weaned. Comparisons were made between middle–high income and low-income countries, and experience with nonoperative treatment. Results: A total of 103 responses were collected. About half (52.4%) of the responders had scoliosis screening programs and were particularly situated in middle–high income countries. Up to 34% obtained MRIs for all cases, while most would obtain MRIs for neurological problems. The brace criteria were highly variable and was usually based on menarche status (74.7%), age (59%), and Risser staging (92.8%). Up to 52.4% of surgeons elected to brace patients with large curves before offering surgery. Only 28% of responders utilized CAD-CAM techniques for brace fabrication and most (76.8%) still utilized negative molds. There were no standardized criteria for brace weaning. Conclusion: There are highly variable practices related to nonoperative treatment for AIS and may be related to availability of resources in certain countries. Relative consensus was achieved for when MRI should be obtained and an acceptable brace compliance should be more than 16 hours a day.-
dc.languageeng-
dc.publisherSAGE Publications: Creative Commons. The Journal's web site is located at https://journals.sagepub.com/home/osj-
dc.relation.ispartofJournal of Orthopaedic Surgery-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectadolescent idiopathic scoliosis-
dc.subjectAIS-
dc.subjectbracing-
dc.subjectnonoperative-
dc.titleControversies with nonoperative management for adolescent idiopathic scoliosis: Study from the APSS Scoliosis Focus Group-
dc.typeArticle-
dc.identifier.emailCheung, JPY: cheungjp@hku.hk-
dc.identifier.emailCheung, PWH: gnuehcp6@hku.hk-
dc.identifier.authorityCheung, JPY=rp01685-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.1177/2309499020930291-
dc.identifier.pmid32529908-
dc.identifier.scopuseid_2-s2.0-85086318586-
dc.identifier.hkuros310675-
dc.identifier.volume28-
dc.identifier.issue2-
dc.identifier.spagearticle no. 230949902093029-
dc.identifier.epagearticle no. 230949902093029-
dc.identifier.isiWOS:000542338300001-
dc.publisher.placeUnited States-
dc.identifier.issnl1022-5536-

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