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Original Article

Critical review on non‐operative management of adolescent idiopathic scoliosis

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Pages 242-253 | Published online: 12 Jul 2009
 

Abstract

There are a number of different non‐operative interventions which aim to control moderate adolescent idiopathic scoliosis (AIS) from progression. Clinicians may find difficulties in the selection of appropriate interventions for AIS. A comprehensive literature review was carried out to study all contemporary non‐operative interventions, it was noted that rigid spinal orthoses apparently give more curve control; however, it would compromise the patient's quality of life via those inevitable factors ‐ physical constraint, poor acceptance and psychological disturbance. There is a trend to develop more effective, acceptable and user‐friendly interventions. Under such an aspiration, the theories and clinical evidence of different interventions should be developed along the clinical pathway of early intervention with reliable indicators/predictors, patient's active participation, dynamic control mechanism, holistic psychological and psychosocial considerations, and effective and long‐lasting outcome.

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