Self-correction Evaluation in Scoliosis Patients

Istituto Scientifico Italiano Colonna Vertebrale185 enrolled

Overview

To date, there is no objective assessment method for the quality of the self-correction performed by patients with scoliosis. The study consists of two parts, both retrospective, and distinct on the basis of the tools used to assess self-correction. Part 1: Retrospective assessment of the radiographic variations between spontaneous position and self-correction in subjects suffering from juvenile and adolescent idiopathic scoliosis. Both measurements were performed in a single session. Part 2: Retrospective assessment of the variations between spontaneous and self-correcting position in subjects with juvenile and adolescent idiopathic scoliosis using objective parameters deriving from non-invasive 3D ultrasound instrumentation (Scolioscan, Telefeld, Hong Kong).

Study Type

OBSERVATIONAL

Enrollment

185

Conditions

Scoliosis; Juvenile Scoliosis; Adolescence

Eligibility

Sex: ALLMin age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria for both parts: * Diagnosis of juvenile or adolescent idiopathic scoliosis; * Age \>= 10 years; * Single and double curves with amplitude \>= 15 ° Cobb; * Performing exercises according to SEAS for at least 6 months Only for part 1 (radiographic) * Availability of radiographic investigation in upright position and in self-correction Only for part 2 (ultrasound) * Availability of ultrasound assessment in upright position and in self-correction * Complete radiograph of the spine in anteroposterior projection performed in the 45 days preceding or following the medical examination. * Risser between 0 and 2. Exclusion Criteria: For both parts: * Patients with more than 2 scoliotic curves * Patients with secondary scoliosis * Patients suffering from learning disabilities or clinical conditions impairing neuromotor control * Patients lacking the necessary measures to evaluate the outcome. Part 2 only (ultrasound) ● Patients undergoing brace treatment

Outcomes

Primary Outcomes

Self-correction measure

The angular difference of the curves resulting from the detection with Scolioscan or Rx in the spontaneous position compared to what was obtained in the same condition but in the self-correcting position.

Time frame: through study completion, an average of 6 months