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Scoliosis and Spinal Disorders
Published in: Scoliosis and Spinal Disorders 1/2012

Open Access 01-12-2012 | Methodology

2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth

Authors: Stefano Negrini, Angelo G Aulisa, Lorenzo Aulisa, Alin B Circo, Jean Claude de Mauroy, Jacek Durmala, Theodoros B Grivas, Patrick Knott, Tomasz Kotwicki, Toru Maruyama, Silvia Minozzi, Joseph P O'Brien, Dimitris Papadopoulos, Manuel Rigo, Charles H Rivard, Michele Romano, James H Wynne, Monica Villagrasa, Hans-Rudolf Weiss, Fabio Zaina

Published in: Scoliosis and Spinal Disorders | Issue 1/2012

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Abstract

Background

The International Scientific Society on Scoliosis Orthopaedic and Rehabilitation Treatment (SOSORT), that produced its first Guidelines in 2005, felt the need to revise them and increase their scientific quality. The aim is to offer to all professionals and their patients an evidence-based updated review of the actual evidence on conservative treatment of idiopathic scoliosis (CTIS).

Methods

All types of professionals (specialty physicians, and allied health professionals) engaged in CTIS have been involved together with a methodologist and a patient representative. A review of all the relevant literature and of the existing Guidelines have been performed. Documents, recommendations, and practical approach flow charts have been developed according to a Delphi procedure. A methodological and practical review has been made, and a final Consensus Session was held during the 2011 Barcelona SOSORT Meeting.

Results

The contents of the document are: methodology; generalities on idiopathic scoliosis; approach to CTIS in different patients, with practical flow-charts; literature review and recommendations on assessment, bracing, physiotherapy, Physiotherapeutic Specific Exercises (PSE) and other CTIS. Sixty-five recommendations have been given, divided in the following topics: Bracing (20 recommendations), PSE to prevent scoliosis progression during growth (8), PSE during brace treatment and surgical therapy (5), Other conservative treatments (3), Respiratory function and exercises (3), Sports activities (6), Assessment (20). No recommendations reached a Strength of Evidence level I; 2 were level II; 7 level III; and 20 level IV; through the Consensus procedure 26 reached level V and 10 level VI. The Strength of Recommendations was Grade A for 13, B for 49 and C for 3; none had grade D.

Conclusion

These Guidelines have been a big effort of SOSORT to paint the actual situation of CTIS, starting from the evidence, and filling all the gray areas using a scientific method. According to results, it is possible to understand the lack of research in general on CTIS. SOSORT invites researchers to join, and clinicians to develop good research strategies to allow in the future to support or refute these recommendations according to new and stronger evidence.
Appendix
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Metadata
Title
2011 SOSORT guidelines: Orthopaedic and Rehabilitation treatment of idiopathic scoliosis during growth
Authors
Stefano Negrini
Angelo G Aulisa
Lorenzo Aulisa
Alin B Circo
Jean Claude de Mauroy
Jacek Durmala
Theodoros B Grivas
Patrick Knott
Tomasz Kotwicki
Toru Maruyama
Silvia Minozzi
Joseph P O'Brien
Dimitris Papadopoulos
Manuel Rigo
Charles H Rivard
Michele Romano
James H Wynne
Monica Villagrasa
Hans-Rudolf Weiss
Fabio Zaina
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Scoliosis and Spinal Disorders / Issue 1/2012
Electronic ISSN: 2397-1789
DOI
https://doi.org/10.1186/1748-7161-7-3

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