Indication for surgical treatment in patients with adolescent Idiopathic Scoliosis – a critical appraisal

Patient Safety in Surgery

Marc Moramarco²  Hans-Rudolf Weiss¹ 

[1] Orthopedic Rehabilitation Services, Gesundheitsforum Nahetal, Alzeyer Str. 23, Gensingen D-55457, Germany;Scoliosis3DC, 3 Baldwin Green Common, Suite 204, Woburn, MA 01801, USA

关键词: Indications;    Complications;    Surgery;    Scoliosis;   

Others  :  790308
DOI  :  10.1186/1754-9493-7-17

 received in 2013-05-21, accepted in 2013-05-21,  发布年份 2013

【 摘 要 】

A recent literature search of the pertinent publications in the field revealed that there is poor evidence that would support surgical intervention in patients with Adolescent Idiopathic Scoliosis (AIS). With complications estimated to exceed 50% over a lifetime, surgical intervention is unwarranted in the ‘Adolescent Idiopathic Scoliosis’ AIS population. In the relatively benign population of patients with AIS, according to the findings in literature, we may conclude that the long-term outcome of surgery for AIS creates a more negative end result over the course of a lifetime than the natural history of the condition itself.

As a result, surgeons electing to recommend surgery are strongly advised to openly discuss and inform patients of the long-term probability of potential complications occurring after spinal fusion surgery, and document their explanations accordingly.

【 授权许可】

   
2013 Weiss and Moramarco; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Weiss HR, Moramarco M: Scoliosis—treatment indications according to current evidence. OA Musculoskeletal Med 2013, 1(1):1.
• [2]Romano M, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Kotwicki T, Maier-Hennes A, Negrini S: Exercises for adolescent idiopathic scoliosis. Cochrane Database Syst Rev 2012., 8CD007837
• [3]Negrini S, Minozzi S, Bettany-Saltikov J, Zaina F, Chockalingam N, Grivas TB, Kotwicki T, Maruyama T, Romano M, Vasiliadis ES: Braces for idiopathic scoliosis in adolescents. Cochrane Database Syst Rev 2010., 1CD006850
• [4]Weiss HR, Goodall D: The treatment of adolescent idiopathic scoliosis (AIS) according to present evidence. A systematic review. Eur J Phys Rehabil Med 2008, 44(2):177-193.
• [5]Weiss HR, Moramarco M, Moramarco K: Risks and long-term complications of adolescent idiopathic scoliosis surgery vs. non-surgical and natural history outcomes. Hard Tissue 2013, 2(3):27.
• [6]Westrick ER, Ward WT: Adolescent idiopathic scoliosis: 5-year to 20-year evidence-based surgical results. J Pediatr Orthop 2011, 31(1 Suppl):S61-S68.
• [7]Weiss HR, Goodall D: Rate of complications in scoliosis surgery - a systematic review of the Pub Med literature. Scoliosis 2008, 3:9. BioMed Central Full Text
• [8]Mueller FJ, Gluch H: Cotrel-dubousset instrumentation for the correction of adolescent idiopathic scoliosis. Long-term results with an unexpected high revision rate. Scoliosis 2012, 7(1):13. BioMed Central Full Text
• [9]Weiss HR, Moramarco M: Remodelling of trunk and backshape deformities in patients with scoliosis using standardized asymmetric computer-aided design/computer-aided manufacturing braces. Hard Tissue 2013, 2(2):14.
• [10]Mordecai SC, Dabke HV: Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature. Eur Spine J 2012, 21:382-389.