Bjerkreim I, Hassan I
Acta Orthop Scand. 1982 Dec;53(6):897-900. doi: 10.3109/17453678208992845.
Seventy patients more than 16 years of age with untreated idiopathic scoliosis were followed-up for a mean period of 8.5 years. The majority of curves increased; 3 degrees per year before 20 of age and 1 degree per year after 20 years. Curves below 40 degrees increased significantly less than bigger curves and curves from 60-80 degrees increased the most. Single curves increased significantly more than double curves; thoracic curves increased significantly more than lumbar curves. It is concluded that surgery should be recommended to adolescent patients with thoracic or thoraco-lumbar single curves larger than 40 degrees, and that patients not treated operatively should be followed-up through early adult life.
70例年龄超过16岁的未经治疗的特发性脊柱侧凸患者接受了平均8.5年的随访。大多数侧弯度数增加；20岁前每年增加3度，20岁后每年增加1度。40度以下的侧弯度数增加明显少于较大的侧弯，60 - 80度的侧弯增加最多。单发性侧弯比双发性侧弯增加明显更多；胸段侧弯比腰段侧弯增加明显更多。结论是，对于胸段或胸腰段单发性侧弯大于40度的青少年患者应建议手术治疗，未接受手术治疗的患者应在成年早期进行随访。
