Effect of therapeutic exercises on the progression of adolescent idiopathic scoliosis: a protocol of a systematic review.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Competing interests: Andrade, Rodrigo Mantelatto is a co-owner of the Instituto Escoliose Brasil, where he prescribes specific and general exercises for scoliosis and produces orthoses for patients who require them. The remaining authors declare that they have no competing interests. 17. Eur Spine J. 2014 Dec;23(12):2603-18. doi: 10.1007/s00586-014-3356-1. Epub 2014 Jun 24. Optimal surgical care for adolescent idiopathic scoliosis: an international consensus. de Kleuver M(1), Lewis SJ, Germscheid NM, Kamper SJ, Alanay A, Berven SH, Cheung KM, Ito M, Lenke LG, Polly DW, Qiu Y, van Tulder M, Shaffrey C. Author information: (1)Department of Orthopaedic Surgery, VU University Medicine Center, De Boelelaan 1117, 1081 HZ, Amsterdam, The Netherlands, m.dekleuver@vumc.nl. PURPOSE: The surgical management of adolescent idiopathic scoliosis (AIS) has seen many developments in the last two decades. Little high-level evidence is available to support these changes and guide treatment. This study aimed to identify optimal operative care for adolescents with AIS curves between 40° and 90° Cobb angle. METHODS: From July 2012 to April 2013, the AOSpine Knowledge Forum Deformity performed a modified Delphi survey where current expert opinion from 48 experienced deformity surgeons, representing 29 diverse countries, was gathered. Four rounds were performed: three web-based surveys and a final face-to-face meeting. Consensus was achieved with ≥ 70% agreement. Data were analyzed qualitatively and quantitatively. RESULTS: Consensus of what constitutes optimal care was reached on greater than 60 aspects including: preoperative radiographs; posterior as opposed to anterior (endoscopic) surgical approaches; use of intraoperative spinal cord monitoring; use of local autologous bone (not iliac crest) for grafts; use of thoracic and lumbar pedicle screws; use of titanium anchor points; implant density of