Table 5.
Specific aims of conservative treatment during growth (Strength of Evidence VI-Strength of Recommendation C)
| Adolescent Idiopathic Scoliosis up to 45° | Adolescent Idiopathic Scoliosis over 45° | Infantile and JuvenileIdiopathic Scoliosis | ||
|---|---|---|---|---|
| Radiographic aims | Primary | Below 25° | Below 35° | Below 25° |
| Secondary | Below 35° | No progression | Below 50° | |
| Main aims | Avoid surgery Improve aesthetics and quality of life Reduce disability and pain |
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Notes and definitions
• Final results depend on the characteristics of the disease (progressive potential) and not only on the quality and quantity of treatment (that rely on the action of the whole team: physician, orthotist, therapist, family and patient)
• Goals of treatment: what treating team would like to achieve in front of a specific clinical situation.
• Main aims: pursued in all cases beyond Cobb degrees results
• Primary aims: pursued at start of treatment, but not possible in all cases
• Secondary aims: to be pursued if primary aims are not achievable, but also secondary aims are not always possible