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7th SOSORT consensus paper: conservative treatment of idiopathic & Scheuermann's kyphosis |
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| Authors: | JC de Mauroy HR Weiss AG Aulisa L Aulisa JI Brox J Durmala C Fusco TB Grivas J Hermus T Kotwicki G Le Blay A Lebel L Marcotte S Negrini L Neuhaus T Neuhaus P Pizzetti L Revzina B Torres PJM Van Loon E Vasiliadis M Villagrasa M Werkman M Wernicka MS Wong F Zaina |
| Affiliation: | 1. Clinique du Parc, 155 bd Stalingrad, 69006, Lyon, France 17. Orthopedic Rehabilitation Services, Alzeyer Str. 23, D-55457, Gensingen, Germany 2. Orthopaedics and Traumatology Department Bambino Gesù Children's Hospital, 4, P. S. Onofrio, Roma, RM, 00165, Italy 3. Orthopaedic Department, Rikshospitalet University Hospital, Oslo, NO, 0027, Norway 4. Department of Rehabilitation, University Hospital Medical Center of Silesia, Warszawska 14, Katowice, 40-006, Poland 5. ISICO (Italian Scientific Spine Institute), Via R Bellarmino 13/1, 20141, Milan, Italy 6. Orthopaedic Department, "Thriasio" General Hospital, G. Gennimata, Av., 19600, Magoula, Attica, Greece 7. Department of Orthopaedic Surgery, Research School Caphri, Maastricht University Medical Centre, PO Box 616, 6200, MD, the Netherlands 8. Department of Pediatric Orthopedics and Traumatology, University of Medical Sciences, 10 Fredry Street, Poznan, 61-701, Poland 9. Centre medico-chirurgical et de réadaptation des Massues, 92, rue Edmond-Locard, Lyon cedex 05, 69322, France 10. 474 Lansdowne Rd. N, Ottawa, Ontario, K1M0X9, Canada 11. Posturetek 2823 Boulevard Rosemont Montréal, Canada 12. 8 Mivtza Kadesh St., Modi'in, 71720, Israel 13. ha'chartzit 10th, rishon le-zion, Israel 14. 3380 St. Michael Dr., Palo Alto, CA, 94306, USA 15. Slingeland Ziekenhuis Kruisbergseweg 25, 7009, BL, Doetinchem, The Netherlands 16. Institut E. Salvá, Vía Augusta 185, 08021, Barcelona, Spain 18. SCOLIOCARE-ORTHOMED, Gesundheitsforum Nahetal, Alzeyer Strasse 23, Gensingen, 55457, Germany 19. Department of Kinesitherapy, University School of Physical Education, Królowej Jadwigi 27/39, Poznan, 61-871, Poland 20. IDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong Kong Polytechnic University, 11 Yuk Choi Rd, Hung Hom, Hong Kong, China |
| Abstract: | AbstractThoracic hyperkyphosis is a frequent problem and can impact greatly on patient's quality of life during adolescence. This condition can be idiopathic or secondary to Scheuermann disease, a disease disturbing vertebral growth. To date, there is no sound scientific data available on the management of this condition. Some studies discuss the effects of bracing, however no guidelines, protocols or indication's of treatment for this condition were found. The aim of this paper was to develop and verify the consensus on managing thoracic hyperkyphosis patients treated with braces and/or physiotherapy.MethodsThe Delphi process was utilised in four steps gradually modified according to the results of a set of recommendations: we involved the SOSORT Board twice, then all SOSORT members twice, with a Pre-Meeting Questionnaire (PMQ), and during a Consensus Session at the SOSORT Lyon Meeting with a Meeting Questionnaire (MQ).ResultsThere was an unanimous agreement on the general efficacy of bracing and physiotherapy for this condition. Most experts suggested the use of 4-5 point bracing systems, however there was some controversy with regards to physiotherapeutic aims and modalities.ConclusionThe SOSORT panel of experts suggest the use of rigid braces and physiotherapy to correct thoracic hyperkyphosis during adolescence. The evaluation of specific braces and physiotherapy techniques has been recommended. |
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