TY - JOUR
T1 - Scoliosis
T2 - Surgical versus nonsurgical treatment
AU - Lonstein, John E.
PY - 2006/2
Y1 - 2006/2
N2 - This article reviews the nonoperative and operative decision making process in idiopathic scoliosis in the adolescent and adult with additional comments about degenerative scoliosis. Because knowledge of the natural history of idiopathic scoliosis is essential for decision making, this will be covered first, as will the current knowledge concerning the long term outcomes of nonoperative and operative treatment. With the natural history as a background, I will discuss how the factors that are important in natural history effect decision making in the adolescent and adult. By using an evidence-based approach, hopefully a better decision-making process will result in improved outcomes. Additional treatment decisions regarding the choice of the specific nonoperative treatment methods as well as surgical decisions (fusion levels, approach, choice of implants) will not be covered.
AB - This article reviews the nonoperative and operative decision making process in idiopathic scoliosis in the adolescent and adult with additional comments about degenerative scoliosis. Because knowledge of the natural history of idiopathic scoliosis is essential for decision making, this will be covered first, as will the current knowledge concerning the long term outcomes of nonoperative and operative treatment. With the natural history as a background, I will discuss how the factors that are important in natural history effect decision making in the adolescent and adult. By using an evidence-based approach, hopefully a better decision-making process will result in improved outcomes. Additional treatment decisions regarding the choice of the specific nonoperative treatment methods as well as surgical decisions (fusion levels, approach, choice of implants) will not be covered.
UR - http://www.scopus.com/inward/record.url?scp=33645282298&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33645282298&partnerID=8YFLogxK
U2 - 10.1097/01.blo.0000198725.54891.73
DO - 10.1097/01.blo.0000198725.54891.73
M3 - Article
C2 - 16462448
AN - SCOPUS:33645282298
SN - 0009-921X
VL - 443
SP - 248
EP - 259
JO - Clinical orthopaedics and related research
JF - Clinical orthopaedics and related research
ER -