Hassan I, Bjerkreim I
Acta Orthop Scand. 1983 Feb;54(1):88-90. doi: 10.3109/17453678308992874.
One hundred patients with idiopathic scoliosis treated conservatively were reviewed for a mean period of 10.6 years after the end of treatment. The majority of curves had increased; 70% between 16 and 20 years of age and 60% after age 20. The mean progression per year was 3 degrees and 2 degrees for single and double curves, respectively, in the first 4 years after the end of treatment and 1 degree and 0.5 degrees, respectively, in adulthood. Curves above 40 degrees increased significantly more than smaller curves. It is concluded that curves of more than 40 degrees, especially thoracic single curves, should be treated operatively in adolescence. Conservative treatment of smaller curves should be continued towards 20 years of age, and the patients should be followed up during early adult life.
对100例接受保守治疗的特发性脊柱侧凸患者在治疗结束后平均随访10.6年。大多数侧弯度数增加；16至20岁之间的患者中有70%，20岁以后的患者中有60%。治疗结束后的前4年，单弯和双弯每年的平均进展分别为3度和2度，成年期分别为1度和0.5度。40度以上的侧弯比小侧弯度数增加明显更多。得出的结论是，40度以上的侧弯，尤其是胸段单弯，在青少年期应接受手术治疗。较小侧弯的保守治疗应持续到20岁，并且患者在成年早期应进行随访。
