Scoliose idiopathique en période de croissance. Indications et programmes thérapeutiques

Abstract

Progressive scoliosis requires effective treatment. Physical therapy is useful but not sufficient. Bracing slows the progression of the deformity. When bracing fails or the patient does not comply with the treatment, the deformity may progress rapidly, becoming unacceptable in adolescence or adulthood. This situation requires surgery for instrumentation to correct the curvature and bone grafting to stabilize the spine. Surgical treatment for idiopathic scoliosis follows stringent rules and produces satisfactory outcomes, allowing the patient to lead a normal life if the residual motion range at the lumbar spine is sufficient.