Is early treatment for mild adolescent idiopathic scoliosis superior over the traditional 'watch & wait' approach? A case report with long-term follow-up

• Published in: Journal of Physical Therapy Science Vol. 30; no. 5; pp. 680 - 684
• Main Author: PAUL A.OAKLEY
• Format: Journal Article
• Language: Japanese
• Published: The Society of Physical Therapy Science 2018
• ISSN: 0915-5287

[Abstract.] [Purpose] To present a case of the complete correction of mild suspected adolescent idiopathic scoliosis in support of the argument that early aggressive treatment is superior to the traditional 'watch & wait' approach. [Subject and Methods] A 9-year-old female presented with a 14° thoracic curve indicative of early adolescent idiopathic scoliosis. The parents consented to immediate and early treatment with the SpineCor dynamic and corrective scoliosis brace. The brace was worn 20 hours per day and check-ups were performed every three months. [Results] The patient achieved complete correction of the thoracic curve within 9-months. The child was followed for 4.5 years until she approached near cessation of skeletal growth (Risser sign grade 4) at the age of 14 years, 4-months. The patient's spine remained straight throughout the follow-up. [Conclusion] This report as well as others suggests that the SpineCor bracing system is a unique and effective intervention for mild scoliosis. Further, this case illustrates an ideal outcome and supports the argument that initiating treatment at the earliest indication of suspected idiopathic scoliosis should offer superior outcomes versus the traditional 'watch & wait' approach. Last, radiation exposures associated with radiography for scoliosis treatment and management are negligible and not harmful.